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THE 

MEDICAL FORMULARY: 

BEING 

A COLLECTION OF PRESCRIPTIONS DERIVED FROM THE 

WRITINGS AND PRACTICE OF MANY OF THE MOST 

EMINENT PHYSICIANS IN AMERICA 

AND EUROPE, 

TOGETHER WITH THE 

USUAL DIETETIC PREPARATIONS AND ANTIDOTES FOR POISONS. 

TO WHICH IS ADDED 

AN APPENDIX, 

ON THE 

ENDEMIC USE OF MEDICINES, AND ON THE USE OF ETHER AND CHLOROFORM. 

THE WHOLE ACCOMPANIED WITH A FEW BRIEF 

PHARMACEUTICAL AND MEDICAL OBSERVATIONS, 

BY 
BENJAMIN TSLLIS, M.D., 

LATE PROFESSOR OF MATERIA MEDICA AND PHARMACY IN THE PHILADELPHIA 
COLLEGE OF PHARMACY. 

TWELFTH EDITION, 

CAREFULLY REVISED AND MUCH IMPROVED. 
BY 

ALBEET H. SMITH, M. D., 

FELLOW OF THE COLLEGE OF PHYSICIANS OF PHILADELPHIA ; LECTURER ON OBSTETRICS 
TO THE PHILADELPHIA LYING-IN CHARITY, ETC. 

" Morbos autem, non eloquentia sed remediis curari."— Cels. De Med. lib. i. 



£ PHILADELPHIA: 

HENET 0. LEA. 

1868. 




<> 






Entered according to Act of Congress, in the year 1868, by 

HENRY C. LEA, 

in the Clerk's Office of the District Court of the United States in and for the 
Eastern District of Pennsylvania, 



PHILADELPHIA : 
COLLIXS, PRINTER, 705 JAYXE STREET. 



TO 

N. CHAPMAN, M.D., 

PROFESSOR OF THE INSTITUTES AND PRACTICE OF MEDICINE AND 
CLINICAL PRACTICE 

IN THE 
ETC. ETC. 

WHOSE TALENTS AND URBANITY 

HAVE RAISED HIM TO THE FIRST RANK IN THE PROFESSION, AND HAVE ACQUIRED 
FOR HIM THE CONFIDENCE AND ESTEEM 

OF A LARGE AND ENLIGHTENED COMMUNITY, 

THIS WOEK 

IS VERY RESPECTFULLY DEDICATED 
BY HIS OBLIGED FRIEND, 

THE AUTHOR. 



ELLIS'S FORMULARY 



The first and second editions were issued by the 
author. The third, fourth, fifth, sixth, seventh, 
eighth, and ninth editions were revised by the late 
Samuel Gr. Morton, M. D. The tenth and eleventh 
editions have been issued under the editorial charge 
of the late Robert P. Thomas, M. D., and the 
twelfth under that of Albert H. Smith, M. D. 



PREFACE TO THE TWELFTH EDITION. 



In revising the present edition of the Formulary, 
the progress of medical science in the departments 
of Materia Medica and Therapeutics has rendered 
necessary the addition of a considerable amount of 
new matter ; and in order that the bulk of the work 
might not be too much increased, the editor has. 
selected for omission such formulae as seemed of 
least value, most of them containing remedies long 
since fallen into disuse, and scarcely obtainable by 
the class of physicians for whom the work is in- 
tended. 

The table of doses has been very carefully cor- 
rected; the doses of some articles being divided in 
reference to their therapeutic application, and all 
calculated for the administration of pure pharma- 
ceutical preparations of standard strength, and for 
adult patients. 

It has been thought best to inclose in brackets 
the new formulae, that the attention of young prac- 
titioners may be called to them, as illustrating the 
practice of recent authorities in therapeutics. 

In addition to the new formulae, the editor has 



VI PREFACE TO THE TWELFTH EDITION. 

added to the work the new classes of Ant emetics 
and of Disinfectants; besides making insertion under 
the proper classes of brief references to the inhala- 
tion of Atomized fluids, the nasal douche of Thudi- 
ehum, suggestions upon the method of hypodermic 
injection, the administration of anaesthetics, and 
some other minor matters, all of which he hopes 
will add to the value of the work. 

A new feature of the Formulary will be found in a 
full index of diseases, with reference to the numbers 
and principal ingredients of the particular formulae 
applicable to each. 

Philadelphia, October, 1868. 



PREFACE. 



The elegant and judicious formation of prescrip- 
tions is one of the difficulties which the young prac- 
titioner in medicine is obliged to encounter. While 
a student, he is compelled, from the circumstances 
under which he is placed, to confine his attention to 
the leading principles of the science. Consequently, 
the minor points (and the art of directing medicines 
is considered one of them) are postponed to that 
period when he shall have undertaken the practical 
duties of his profession. 

To obviate, in some measure, the inconvenience 
which the graduate at first experiences, the volume 
now offered the public was undertaken and executed. 
It contains, in a condensed form, and we think ad- 
vantageously arranged, many of the most important 
prescriptions employed in modern practice, and 
which, though most of them may be already re- 
corded, are scattered through various medical works. 

The arrangement framed by Professor Chapman 
for his Therapeutics, appearing to combine greater 
advantages than any other, we have taken the liberty 
of adopting it as the basis of this Formulary. 



Vlll PREFACE. 

Each Class has been subdivided into Powders, 
Pills, and Liquids, without any attempt to preserve 
the different preparations of the same article together, 
but only with a view to convenience. A few concise 
rules will be found prefixed to each Class, and ob- 
servations have been attached to those prescriptions 
which possess peculiarities either in their composi- 
tion or effects. 

The application of the remedies to diseases has 
been generally left to the judgment of the practi- 
tioner, and therapeutical detail as much as possible 
avoided, as it would have been inconsistent with the 
nature and design of the work. 

The object is to furnish models for extempora- 
neous formulas, the proportions of which may be 
either increased or diminished, according to the age, 
sex, constitution, or idiosyncrasy of the patient, all 
of which are to be taken into consideration when a 
prescription is directed, as well as the climate and 
peculiar epidemic which may be prevailing. 

The prescriptions have been couched in the Latin 
language, and the names of the several articles will 
be found regularly terminated. The design was to 
furnish something like a Medical Grammar to those 
unacquainted with the dead language ; and even 
those versed in the classics may occasionally find 
words used in prescriptions which are new to them. 

A series of Dietetic Preparations and the principal 
Poisons have been placed in Book III. The former 
are written in the English language, and it is hoped 



PREFACE. IX 



that they may be found useful in furnishing direc- 
tions necessary to he given to the nurse. 

The latter are those Poisons which are usually 
taken by accident or design, with their appropriate 
antidotes and some practical observations. 

Appendix ISTo. I contains some concise remarks on 
the mode of using remedies on the "Midermic plan" 
as well as the quantities employed, and the effects 
produced by several of the most potent remedial 
agents. 1 

The materials for the work have been collected 
from various sources — the writings of different au- 
thors, periodical journals, manuscripts, and the con- 
tributions of our friends. It is hoped, therefore, that 
the difficulties which have attended its progress will 
form some apology for the errors which it may possi- 
bly be found to contain. As a reason for not more 
frequently attaching the names of authors to the 
prescriptions, it may be observed that they are a 
kind of common medical property, which every phy- 
sician feels himself privileged not only to employ, 
but modify as may best correspond with his own 
views. It is, therefore, difficult to say to whom 
many of them belong : they have been touched and 
retouched till they have lost their identity. 

In conclusion, we beg leave to present our ac- 
knowledgments to some of our friends for the en- 

1 Appendix No. II. is a concise and able article on the use of Ether and 
Chloroform, drawn up by the late Dr. Morton, to which the attention of 
the reader is directed. 



X ' PREFACE. 

couragement they have given to the undertaking. 
To Dr. Chapman Ave are particularly indebted for 
the kindness and interest he has manifested in its 
publication, and offer to him (the only return we 
can make) our warmest thanks. 

It is with particular pleasure we embrace this op- 
portunity of expressing our obligations to our friend 
Dr. S. G. Morton, whose intimate acquaintance 
with the subject, and classical knowledge, are only 
equalled by the kindness and industry he has dis- 
played in facilitating the work. 

There are others whose names it would gratify us 
to mention, but who, we know, will be more pleased 
by our silence. The countenance they gave us on 
the present occasion has only increased the debt pre- 
viously incurred. 

B. E. 



CONTENTS 



PAGE 

Preface of the Editor . . . . v 

Preface of the Author vii 

Introduction xv 

Table of Drops xvii 

Table of Abbreviations xix 

Table of Doses for Children ...... xx 

Table of the Doses of Medicines xxi 

Tabular View of the Doses of the Principal Articles of the 

Materia Medica xxiii 



BOOK I. 

OF INTERNAL REMEDIES. 

Class I. Emetics 33 

Powders 34 

Solutions and Mixtures ....... 36 

II. Antemetics ' 38 

Pills and Powders 39 

Solutions and Mixtures 40 

III. Cathartics 42 

Powders 43 

Pills . 46 

Confections and Electuaries ...... 51 

Emulsions and Mixtures 51 

Infusions and Decoctions ...... 55 

Wines and Tinctures 56 

Eneinata . . . . . ... . . 57 

Suppositories 59 

IV. Diuretics 60 

Powders 60 

Pills 61 

Infusions and Decoctions 63 

Solutions and Mixtures 65 

V. Antilithics and Lithontriptics 72 

Powders and Pills 72 

/Solutions and Mixtures 73 



Xll CONTENTS. 

Class page 

VI. Diaphoretics 77 

1. Ordinary Diaphoretics 78 

Powders 78 

Solutions and Mixtures 80 

Infusions 85 

2. Alterative Diaphoretics 86 

Pills 86 

Decoctions 86 

Mixtures . . 87 

VII. Expectorants 89 

Powders, Pills, and Lozenges 89 

Syrups 93 

Mixtures 96 

Inhalation 106 

VIII. Emmenagogues 113 

Powders and Pills 113 

Fluid Preparations 116 

IX. Anthelmintics 120 

Powders, Pills, and Lozenges 120 

Infusions and Decoctions 123 

Electuaries and Mixtures 124 

Clysters 127 

X. Stimulants 128 

Powders and Pills 128 

Mixtures and Infusions 129 

XI. Narcotics 138 

Pitts 138 

Mixtures, etc. 142 

Clysters and Suppositories 149 

External Use of Narcotics 151 

XII. Antispasmodics 156 

Pills, etc. 156 

Mixtures, etc. . . . . . . . .157 

XIII. Sialagogues . 160 

XIV. Tonics 164 

1. Anti-intermittents 164 

Powders and Pills 164 

Decoctions, Solutions, and Mixtures . . . 169 

2. Ordinary tonics 173 

Powders and Pills 173 

Decoctions and Infusions 180 

Mixtures and Tinctures 183 

XV. Alteratives 192 

Powders and Pills 192 

Tinctures and Mixtures 196 

XVI. Astringents 208 

Powders and Pills 208 

Mixtures and Infusions . . . . . 212 



CONTENTS. Xlll 

Class page 

XVII. Absorbents or Antacids 220 

Poicders and Pills 220 

Mixtures and Solutions 222 



BOOK II. 

OP EXTERNAL APPLICATIONS. 

XVIII. Caustics or Escharotics 227 

Issues and Setons 233 

XIX Epispastics 235 

XX. Kubefacients 239 

XXI. Anomalous External Applications 248 

A. Collyria ..'...... 248 

Powders 248 

Solutions and Mixtures 249 

B. Injections ........ 255 

a. For the Ear 256 

b. For the Nostrils . 258 

c. For the Urethra 259 

C. Vaginal injections 264 

Inoculation and subcutaneous injection of medi- 
cines 265 

D. Gargles and Mouth Washes ..... 267 

E. Liniments, Lotions, etc. ....... 273 

F. Ointments 285 

Powders 298 

0. Cataplasms 300 

H. Baths .302 

1. Fomentations 304 

K. Fumigations ........ 305 

L. Disinfectants ........ 307 



BOOK III. 

OP DIETETIC PREPARATIONS AND POISONS. 

Dietetic Preparations and Beverages for the sick . . . .313 

Poisons . 327 

Appendix I. Enclermic Use of Medicines ..... 339 

II. Use of Ether and Chloroform 340 

Index . 347 



INTRODUCTION 



Before entering upon the main object of this 
work, it is necessary to notice a few circumstances 
which pertain more especially to Pharmaceutic 
Chemistry, yet appear to be called for in this place ; 
and, though they are familiar to every educated 
physician, may be useful to the student who has not 
yet turned his attention to prescriptions. 

In the first place, it is requisite to be well ac- 
quainted with the signs of quantity, or those symbolic 
characters which are used in writing prescriptions. 
In the ancient practice of medicine, there were very 
many of these symbols, not only for the purpose of 
denoting the quantity of the ingredient, but the in- 
gredient itself. Most of these, however, have become 
obsolete; and a few only are retained as indispensable 
to the convenience of the practitioner. These will be 
found in the following table, which is adopted in the 
Pharmacopoeias for the regulation of weights. 



English name. 


Latin name. 


Symbol. 


Contains. 


A pound, 
An ounce, 
A drachm, 
A scruple, 


Libra, 
Uncia, 
Drachma, 
Scrupulus, 


3, 

5, 
9, 


12 ounces, 
8 drachms, 
3 scruples, 

20 grains. 



XVI 



INTRODUCTION. 



Iii the manipulation of liquid substances, measures 
have, in most countries, superseded the use of weights. 
Particular names and symbols are given to the parts 
forming a gallon, in order to prevent their being con- 
founded with those denoting weights ; as in the fol- 
lowing table : — 



English name. 


Latin name. 


Symbol. 


Contains. 


A gallon, 
A pint, 
A fluiclounce, 
A fluidrachm, 


Congius, 
Octarius, 
Fluiduncia, 
Fluidrachma, 


C, or Cong., 

o, 

ff, 

f5, 


8 pints. 
16 fluidounces. 

8 fluiclrackms. 
60 minims (n\J. 



The minims used in the table have been adopted in 
the United States Pharmacopoeia in place of drops; 
and although we have only partially employed this 
measure in our prescriptions, yet we can readily per- 
ceive it to possess some important advantages over 
the ancient practice. The symbol (n^) is sometimes 
used by medical writers, though very improperly, to 
denote both minims and drops. The size of a drop 
varies according to the greater or less fluidity and 
gravity of the liquid, and the shape of the vessel 
from which it is dropped ; but, as a general rule, we 
cannot do better on these occasions than use a small 
vial with a thin edge. Dr. Dorsey observes that, 
whenever great precision is necessary, it is easy to 
dilute the active medicine, and give it in the form of 
a mixture. 

Elias Durand, Prof. Procter, and Edward Parrish, 
of this city, have made various experiments to ascer- 



INTRODUCTION. 



XV 11 



tain the number of drops of different liquids equivalent 
to a fluidrachm; and the results, which are of prac- 
tical importance, are partly given in the following 
table : — 



Acid, acetic (crystallizable) 


» . 


DROPS 

120 


Acid, hydrocyanic (medicinal) 


• 


45 


Acid, muriatic .... 


. 


54 


Acid, nitric 


. 


84 


Acid, sulphuric .... 


. 


90 


Acid, sulphuric, aromatic 


. 


120 


Alcohol (rectified spirit) . 


. 


138 


Alcohol, diluted (proof spirit) 


. 


120 


Arsenite of potassa, solution of 


. 


57 


Chloroform 


. 200 


-260 


Ether, sulphuric .... 


. 


150 


The essential oils .... 


90 


-110 


Syrup of acacia .... 


. 


58 


Syrup of squill .... 


. 


88 


Tincture of assafetida, of foxglove, of g 


uaiac, 




of opium 


• 


120 


Tincture of chloride of iron . 


132- 


-150 


Vinegar, distilled .... 


. 


78 


Vinegar of colchicum . 


. 


78 


Vinegar of opium (Black Drop) 


. 


78 


Vinegar of squills 


. 


78 


Water, distilled 


. 


45 


Water of ammonia (strong) . 


. 


54 


Water of ammonia (weak) 


. 


45 


Wine, Teneriffe 


. 


78 


Wine, antimonial . 


. 


72 


Wine of colchicum 


. 


75 


Wine of opium . 
2 


• 


78 



XVlll INTRODUCTION. 

Xow it is evident from the preceding facts, that 
in giving one hundred and fifty drops of sulphuric 
ether (and proximately of any ethereal tincture), we 
give but a fluidrachm ; whereas the same number of 
drops of medicinal hydrocyanic acid (one of the most 
poisonous preparations of the Materia Medica),' 
would be equal to something more than three flui- 
drachms. The same remark, it will be observed, is 
applicable to various other preparations, which sug- 
gests a caution in rapidly increasing the dose of such 
medicines by drops. 

Whenever a tablespoonful of any liquid is ordered, 
it is considered to be equal to half an ounce by mea- 
sure ; and in the same way a teaspoonful is used for 
a fluidrachm. These measures are sufficiently accu- 
rate where no great precision is requisite. 

The prescriptions contained in this work are given 
in the Latin language, without other abbreviations 
than those in common use to denote the quantity of 
an ingredient. The directions for the administration 
of medicines are expressed in English. 

Prescriptions, as usually sent to the apothecaries, 
are much abbreviated, and the same course may be 
pursued with regard to those contained in this collec- 
tion. For the information of students who have not 
been in the practice of writing prescriptions, a Table 
of Abbreviations is subjoined. 



INTEODUCTION. 



XIX 



TABLE OF ABBREVIATIONS. 



Abbreviations. 


Latin word. 


English word. 


aa. 


Ana, 1 


Of each. 


Ad saturand. 


Ad saturandum, 


Until saturated. 


Ad lib. 


Ad libitum, 


At pleasure. 


Aq. tepid. 


Aqua tepida, 


Warm water. 


Aq. ferv. 


Aqua fervens, 


Hot water. 


C. 


Congius, 


A gallon. 


Chart. 


Char tula, 


A small paper. 


Coch. 


Cochlear, 


A spoonful. 


Coch. mag. 


Cochlear magnum, 


A tablespoonful. 


Coch. parv. 


Cochlear parvum, 


A teaspoonful. 


Colent. 


Colentur, 


Let them be strained. 


Collyr. 


Colryrium, 


An eye-water. 


Contus. 


Contusus, 


Bruised or broken. 


F. vel Ft. 


Fiat vel fiant, 


Let there be made. 


Fol. 


Folium, vel folia, 


A leaf, or leaves. 


Garg. 


Gargarysma, 


A gargle. 


Gr. 


Granum, vel grana, 


A grain, or grains. 


Gtt. 


Gutta, vel guttse, 


A drop, or drops. 


Haust. 


Haustus, 


A draught. 


Infus. 


Infusum, 


An infusion. 


M. 


Misce, 


Mix. 


Mass. 


Massa, 


A mass. 


Mist. 


Mistura, 


A mixture. 


0. • 


Octarius, 


A pint. 


Pil. 


Pilula, vel pilulse, 


A pill, or pills. 


Pulv. 


Pulvis, vel pulveres, 


A powder, or powders. 


Q.S. 


Quantum sufficit, 


A sufficient quantity. 


R. 


Recipe, 


Take. 


Rad. 


Radix, 


A root. 


S. 


Signa, 


Write. 


Ss. 


Semis, 


The half. 


Tinct. 


Tinctura, 


A tincture. 



The doses throughout this work are applicable to 
adult age, unless the contrary is specified. 

For the convenience of young practitioners, the 
rules furnished by Gaubius and Dr. Young, for 



1 This is not properly a Latin word, but the Greek preposition *va. 



XX INTRODUCTION. 

ascertaining the proper closes of medicines for child- 
ren, are given below. 

Gaiibins takes the dose for an adult as unity, and 
for other ages, as follows : — 

One year old . . -^ Seven years old . . -J 

Two years old . . J Fourteen years old . J 

Three years old . . J Twenty years old . § 

Four years old . . \ From 20 to 60 years old 1 

Dr. Young says : " For children under twelve 
years, the doses of most medicines must be dimin- 
ished in the proportion of the age, to the age in- 
creased by 12." Thus for a child of two years, 

2 : 2 + 12 : : the adult dose, or 1 : to the child's dose, 

2 
or 7. Or to state it more simply, — — T7 ,= A. Hence, 

1 J ' 2+12 7 

For one year, 



1 + 12 13 



" two years, 



11 three 
" four 



2 + 12 ' 

34-12 5 

4 + 12 — 4 
6 _i 
6 + 12 3 



" six 
etc. etc. 

At twelve, the dose is one-half that of the adult. 

An exception should be made in the administration 
of opiates to very young children, the dose requiring 
to be diminished in greater proportion than that of 
the table. 

In the case of mercurials, on the other hand, the 
dose is greater, the susceptibility to their impression 
being less, proportionately, than in adults. 



TABLE OF THE DOSES OF MEDICINES, 

ARRANGED IN ALPHABETICAL ORDER. 



In preparing the following Table, a great object 
has been to present, at a glance, the minimum and 
medium doses of each medicine; or, as sometimes 
happens in respect to the more familiar articles, the 
ordinary dose, as in many of the infusions and tinc- 
tures. It is necessary to premise that these prepa- 
rations are adapted to adult age; nor can any precise 
rule be laid down which will be applicable to all the 
periods of life between that period and early infancy. 
Nothing but the cautious observation and judgment 
of the physician can possibly supply this deficiency. 
The best mode of giving active medicines to infants 
is in solution or suspension, so that the dose may be 
readily and safely graduated in reference to age, con- 
stitution and disease. 

"We would also impress upon every practitioner, 
the vital importance of knowing the properties and 
strength of a medicine before prescribing it ; and this 
caution is especially requisite in directing those pre- 
parations which, in an overdose, produce distressing 
and sometimes fatal effects. No prescription of this 
kind should ever be copied at random, and without 



XX11 INTRODUCTION. 

first satisfying one's self, by a little calculation, 
whether the proportions directed in it are safe and 
consistent ; and we would farther insist that the use 
of every poisonous medicine should be commenced 
in a minimum dose, and gradually increased accord- 
ing to its effects on the system. It is often neces- 
sary, also, in these instances, to put the patient on 
his guard in case any inordinate or unusual symp- 
toms should arise, with a request that the prescrip- 
tion, in such contingency, may be taken in less 
quantity, at longer intervals, or discontinued. This 
precaution is all-important, for example, in the ad- 
ministration of alterative doses of the mercurial pre- 
parations ; for the same quantity that would have 
little or no effect on one person, might, and often 
does, produce a violent and deleterious effect on 
another. This remark is also equally applicable to 
the whole class of narcotic medicines. 

In giving the doses of the narcotic extracts, refer- 
ence is had to the best preparations recognized by 
pharmaceutists as having a standard strength and 
purity, as, for example, the well-known extracts of 
Squire, of London, between whose preparations and 
those of some other manufacturers there may be a 
difference of strength, and therefore of dose amount- 
ing to three or four times the weight. 

In truth, nothing but habitual circumspection in 
prescribing medicines, can render this art beneficial 
to the patient or honorable to the physician. 



TABULAR YIEW 



DOSES OF THE PRINCIPAL ARTICLES OF THE MATERIA 

MEDICA. 



i 

2 0- 



Absinthium, 9j ad ij. 
Acetonum, gtt. x ad xxx. 
Acetum, f 3j ad iv. 
Acidum Arseniosum, gr. ^ ad 

Benzoicum, gr. x ad xx. 

Boracicum, gr. v ad x. 

Gallicum, gr. iij ad x. 

Hydrocyanicum Dilutum, 

gtt. j ad iij. 

Muriaticura Dilutum, gtt. 

xx. 

Nitricum Dilutum, gtt. x 

ad xx. 

Nitro-muriaticum, gtt. iij 

ad x. 

Phosphoricum Glaciale, 

gr. j ad ij. 

Phosphoricum Dilutum, 

gtt. xv ad xxx. 

Sulphuricum Dilutum, gtt. 

x ad xx. 

Sulphuricum Aromaticum, 

gtt. x ad xx. 

Tannicum, gr. ij ad vj. 

Tartaricum, gr. xx ad 3ss. 

Aconiti Folium, gr. j ad ij. 
, Extractum Alcoholicum, 

gr. I ad i. 

Folii, Tinctura, gtt. x ad 

xx. 

Radicis, Tinctura, gtt. ij 

ad v. 



JEther, f 3ss ad j. 

, Spiritus Compositus, f 5.1- 



^Etheris Nitrosi Spiritus, f5ss 

adj. 
Allium, 5ss ad j. 
Allii, Succus, f§ss. 

Syrupus, f 5j ad ij. 



Aloe, gr. iij ad x. 
Aloe et Canella, gr. v 
Aloes, Tinctura, f^ss. 

Yinum, f 5j ad fgss. 



xx. 



Alumen, expectorant, gr. iij ad x 
emetic, 3j ad ij. 
Exsiccatum, gr. v ad x. 



Ammoniae Acetatis, Liquor, fjss 

adj. 

Carbonas, gr. v ad x. 

■ Phosphas, gr. x ad xx. 

Murias, gr. v ad xv. 

. Spiritus, Aromaticus, 

gtt. xx ad xxx. 
Ammoniacum, gr. x ad xx. 
Ammoniaci, Mistura, fjfss. 
Angustura, gr. x ad xx. 
Angusturas, Infusum, f 3ij. 
Anthemis, 3ss ad j. 
Anthemidis, Infusum, f 5J ad ij. 
Antimonium Sulphuratum, gr. j 

ad v. 
Antimonii, Oxidum, gr. iij ad v. 
Oxysulphuretum, gr. ss 

ad ij. 



XXIV 



TABLE OF DOSES. 



Antimonii et Potassae Tartras, dia- 
phoretic, gr. T ^ ad £ ; 
emetic, gr. j ad ij. 

, Tin urn, gtt. x ad f3j. 

Antiraonialis, Pulvis, gr. iij ad x. 

Apoeynurn, gr. x ad xxx. 

Argenti Nitras, gr. £ ad J. 

Cyaniduin, gr. ^. 

Iodidura, gr. J ad j. 



S 1 ' S' 

Arnica, gr. v ad xx. 

Arnicae, Extractum Alcoholicum, 
gr. ij ad v. 

, Tinctnra, gtt. xx ad f 3j . 

Arseniosum Acidum, gr. -^ ad -j^. 

Arsenici Iodidum, gr. ^ ac ^ s- 

Arsenici et Hydrargyri Iodidi, Li- 
quor, gtt. v ad x. 
Potassae Arsenitis, Liquor, 
alterative, gtt. iij ad viij j 
antiperiodic, gtt. v ad xv. 

Asclepias Tuberosa, gr. xx ad 3j- 

Assafoetida, gr. iij ad x. 

Assafcetidae, Mistura, fsss. 

, Tinctura, f3j. 

Atropia, gr. jfo ad F V 

Atropiae Sulphas, gr. g^ ad ^V- 

Auri Sales, gr. T ' ¥ ad -^j. 

Balsamum Peruvianum, fjss. 

Tolutanum, gr. x ad 

xxx. 
Tolutanus, Syrupus, 

fgss. 
Tolutana, Tinctura, f 3j. 
Barii Chloridi, Liquor, gtt. v. 
Bebeerinae Sulphas, gr. iij ad xx. 
Belladonnas, Folium, gr. j. 

, Extractum, gr. J ad ^. 

, Extractum Alcoholi- 
cum, gr. J. 
Tinctura, gtt. x ad xx. 



Benzoinum, gr. v ad x. 

Benzoini Composita, Tinctura, f 3ss 

adj. 
Bismuthi Subcarbonas, gr. iij ad x. 

. Subnitras, gr. iij ad x. 

Brominium, gtt. | ad £. 
Brucia, gr. J. 



Buchu, gr. xx ad xxx. 

, Extractum Fluidum, f5ss 

adj. 
, Infusum, f^ij. 



Cahinca, 9j ad 5j- 
Calamus, 9j ad 5j- 
Calcis, Liquor, f5ss ad ij. 
, Syrupus, f3ss ad ij. 



Calcii Chloridi, Liquor, gtt. xxx 

ad f 3j. 
Calx Chlorinata, gr. iij ad vj. 

Creta Praeparata, gr. x ad 

xxx. 
Testa Praeparata, gr. x ad 
xxx. 
Camphora, gr. ij ad x. 
Camphors, Aqua, fgss. 

Spiritus, gtt. v ad xx. 



Canella, gr. x ad xxx. 
Cannabis, Extractum Purificatum, 
gr. i ad J. 
, Tinctura, gtt. v ad xx. 



Cantharis, gr. j ad ij. 
Cantharidis, Tinctura, gtt. iij ad x. 
Capsicum, gr. v ad x. 
Capsici, Tinctura, gtt. v ad xx. 
Cardamomum, gr. x ad xxx. 
Cardamomi, Tinctura, f3j. 
, Tinctura Composita, 

Carum, gr. xx ad xl. 
Caryophyllus, gr. v ad x. 
Caryophylli Oleum, gtt. j ad ij. 
Cascarilla, gr. xx ad xxx. 
Castoreum, gr. x ad xx. 
Castorei Tinctura, gtt. xx ad 1. 
Catechu, gr. x ad xxx. 

Tinctura, f 5j ad ij. 



Cerevisiae Fermentum, f5ss ad ij. 
Cetrariae, Decoctum, f^ij. 
Chenopodium, 9j ad ij. 
Chenopodii, Oleum, gtt. v ad x. 
Chimaphilae, Decoctum, f .5 i j . 
Chloroformum, gtt. v ad xxx. 
Chondri, Decoctum, ad libitum. 
Cimicifuga, 9j ad 3j- 
Cimicifugae, Extractum Fluidum, 
n^xx ad xl. 



TABLE OF DOSES, 



XXV 



Cinchona, gr. x ad xx. 
Cinchonas, Extractum, gr. x. 
, Extractum Fluidum, 

n^ xx ad f5j. 

, Tinctura, f 5j ad iv. 

, Tinctura Composita, 

f 5j ad iv. 

Flavas, vel Rubra?, De- 

coctum, fgj ad ij. 
Flavas, vel Rubra, In- 

fusum, f Jj ad ij. 
Cinchonias Sulphas, gr. ij ad x. 
Cinnamomum, gr. x ad xx. 
Cinnamorai, Aquas, foss. 

, Oleum, gtt. j ad ij. 

, Spiritus, gtt. x ad xxx. 

, Tinctura, f'3j ad ij. 

Coccus, gr. j ad x. 
Colchici Radix, gr. ij ad vj. 

Semen, gr. ij ad vj. 

, Tinctura, f 3ss ad j. 

, Acetum, f 5ss ad j. 

, Extractum Aceticum, gr. j. 

Radicis, Vinum, gtt. x ad 

xx. 

Radicis, Extractum Flu- 

idum, n^ij ad v. 
Seminis, Yinum, fjj. 

Seminis, Extractum Flu- 

idum, n\Jj ad vj. 
Colocynthis, gr. v ad x. 
Colocynthidis, Extractum Com- 

positum, gr. iij ad x. 
Calumba, gr. x ad xx. 
Calunibas, Infusum, f^ij. 

, Tinctura, f 5j ad iv. 

Conii Folium, gr. iij. 

, Extractum, gr. ij. 

, Extractum Alcoholicum, gr. 

ij ad v. 

, Extractum Fluidum, gtt. v. 

, Tinctura, gtt. xx ad xxx. 

Copaiba, f5j. 

Copaibae, Oleum, gtt. x ad xv. 

Coptis, gr. x ad xxx. 

Coriandrum, 9j ad 3j- 

Cornus Florida, gr. xx ad xxx. 

Creasotum, gtt. j. 

Creta Praparata, gr. xv ad 5j- 



Crocus, gr. x ad xx. 

Cubeba, 5ss ad iij. 

Cubebas, Oleoresina, ir^x ad xxx. 

., Oleum, gtt. x acl xij. 

•, Tinctura, f3j- 



Cuprum Ammoniatum, gr. ^ ad J. 
Cupri Sulphas, gr. J ad ij. 

Dippel's Animal Oil, gtt. v ad x. 
Digitalis, gr. j ad iij. 

, Extractum Alcoholicum, 

gr. -J ad j. 

, Infusum, f 5ij ad iv. 

Tinctura, gtt, x ad xxx. 



Digitalin, gr. ¥ V 
Donovan's Solution, gtt. v ad xx. 
Dover's Powder, gr. x. 
Dracontium, gr. x ad xx. 
Dulcamara, 3ss ad j. 
Dulcamaras, Decoctum, f|ij. 

, Extractum, gr. v ad x. 

, Extractum Fluidum, 

fjss ad j. 

Elaterium, gr. J. 

Elaterin, gr. -^g. 

Ergota, gr. xx. 

Ergotas, Yinum, f-Jj ad f^ss. 

, Extractum Fluidum, f^ss 

ad j. 
Ether, fjss ad fjj. 
Eupatorii, Infusum, f ^ij. 
Extractum Cannabis, gr. J ad ^. 

Fel Bovinum, gr. v ad x. 

Ferri Chloridi, Tinctura, gtt. x ad 

xxx. 

Citras, gr. v ad x. 

et Ammonias Citras, gr. v. 

et Ammonias Sulphas, gr. v. 

et Ammonias Tartras, gr. v. 

et Potassas Tartras, gr. x ad 

xx. 

et Quinias Citras, gr. v. 

Ferrocyanidura, gr. iij ad v. 

Iodidi, Syrupus, gtt. x ad xl. 

Lactas, gr. j ad iij. 

Nitratis, Liquor, gtt. viij 

ad x. 



XXVI 



TABLE OF DOSES, 



Ferri Phosphas, gr. v ad x. 

Pyrophosphas, gr. iij ad x. 

Subcarbonas, gr. x ad 5U- 

Carbonatis, Pilulse, gr. iij 

ad v. 

Sulphas Exsiccata, gr. ij ad v. 

■ Valerianas, gr. j. 

Yinum, f 3ss. 

Ferrum Ammoniatum, gr. v ad x. 

Redactum, gr. ij ad v. 

Filix Mas, 3j ad ij- 
Fceniculurn, 9j ad 3ss. 
Foeniculi, Aqua, f^ss. 
Fowler's Solution, alterative, gtt. 

iij ad v ; antiperiodic, gtt. v ad 

xv. 

Galla, gr. x ad xx. 
Gambogia, gr. ij ad iij. 
Gaultheriaa, Oleum, gtt. ij ad v. 
Gentiaua, gr. x ad xxx. 
Gentianas, Extractum, gr. v ad x. 
, Extractum Fluidum, 

f5ss. 
, Composita, Tinctura, 

f5j ad ij. 
Gillenia, gr. xx ad xxx. 
Granati Fructiis Cortex, gr. xx ad 

xxx. 
Guaiaci Resina, gr. x ad xx. 

, Tinctura, f 3j- 

Ammoniata, Tinctura, f 3j. 

Haeniatoxyli, Extractum, gr. x ad 
xx. 

Decoctum, fgj ad ij. 

Helleborus, gr. v ad xv. 

Hellebori, Extractum, Alcoholi- 
cum, gr. v ad x. 

, Tinctura, gtt. xxx ad f5j. 

Hoffmann's Anodyne, f3j. 

Hordei, Decoctum, ad libitum. 

Humuli, Tinctura, f5ij. 

Hydrargyri Chloridum Corrosivum, 
gr. T V ad J. 

Chloridum Mite, gr. ^ 

ad j as an alterative, 
gr. v ad xv as a pur- 
gative. 



Hydrargyri Cyanidum, gr. T \ ad J. 

Iodidum Yiride gr. -J 

ad ij. 
Iodidum Rubrum, gr. 



i 

T6-* 

Oxidum Nigrum, gr. J 

ad iij. 
Sulphas Flava, gr. \ 

ad v. 
Sulphuretum Nigrum, 

gr. v ad x. 
Sulphuretum Rubrum, 

gr. x. 
Hydrargyrum cum Creta, gr. v 
ad x. 

cum Magnesia, gr. 

v ad x. 
Hyoscyami Folium, gr. v ad x. 

, Extractum, gr. ij ad x. 

, Extractum, Fluidum, 

gtt. v ad x. 
, Tinctura, f5ss ad j. 



Ignatias, Extractum, Alcoholicum, 

gr. J ad -|. 
Inula, 9j ad 3j- 
Iodinium, gr. J ad j. 
Iodinii, Tinctura, gtt. v ad x. 

■, Tinctura, Composita, gtt. 

x ad xx. 

, Liquor, Compositns, gtt. v 

ad x. 
Ipecacuanha, as diaphoretic, gr. \ 

ad j ; emetic, gr. x ad xxx. 
Ipecacuanhas, Syrupus, f 5j ad ij. 

, Extractum, Fluidum, 

gtt. x ad xxx. 

, Vinum, f5j. 

, Pulvis, Compositus, 

gr. x. 

Jalapa, gr. x ad xx. 

Jalapae, Extractum, gr. v ad x. 

-, Resin a, gr. j ad iij. 

Tinctura, f5j acl ij. 



Juglandis, Extractum, gr. xx. 

Juniperi, Baccae, 3j ad ij. 

, Oleum, gtt. v ad xv. 



TABLE OF DOSES 



XXVll 



Jumped, Spiritus, Compositus, 
f 5j ad iv. 

Kainela, 3j ad ij- 
Kino, gr. x ad xx. 

, Tinctura, f5j ad ij. 

Kousso, Flores, oSS. 
Krameria, gr. xx ad xxx. 
Krameria?, Extractum, gr. x ad xx. 

, Syrupus, f 5j ad iv. 

, Tinctura, f5j. 

Lactucarium, gr. iij ad x. 
Lactucarii, Syrupus, f3j. 
Lappa, 3j. 

Lauro-Cerasi, Aqua, f 3ss ad j. 
Lavandula, Oleum, gtt. ij ad v. 
, Spiritus, Compositus, 

Liriodendron, 5ss ad ij. 
Lobelia, gr. v ad x. 
Lobelia?, Tinctura, gtt. v ad xx. 
Lugol's Solution, gtt. v ad x. 
Lupulina, gr. v ad x. 
Lupulina?, Tinctura, fjj. 

, Extractum, Fluidum, 

gtt. v ad x. 
, Oleoresina, gr. j ad iij. 

Magnesia, 3ss ad j. 
Magnesia? Carbonas, 3ss ad j. 

Citratis, Liquor, f Jivad 

xij. 

Sulphas, 5ij ad sj. 

Magnolia, 5ss ad j. 
Manganesii Oxidum, gr. iij ad x. 

Iodidi, Liquor, gtt. x 

ad xx. 

Sulphas, 9j ad 5U- 

Manna, £ss ad j. 

Mannite, Jj. 

Matico, 5ss ad ij. 

Matricaria, 5ss ad j. 

Mentha? Piperita?, Oleum, gtt. j ad 

f Spiritus, gtt. x 

ad xxx. 

, Aqua, f 5ss. 

Mentha? Viridis, Aqua, fjss. 



Mentha? Yiridis, Spiritus, gtt. x 

ad xx. 
Mezerei, Decoctum, f ^ij. 
Mistura Creta?, f^ss ad j. 
Monarda?, Oleum, gtt. j ad iij. 
Morphia? Acetas, gr. jr ad J. 

Murias, gr. ^ ad J. 

Sulphas, gr. J ad J, 

Sulphatis, Liquor, fjj ad 

fgss. 
Moschus, gr. x. 

Mucuna?, Electuarium, 5j ad ^ss. 
Myrrha, gr. x ad xx. 
Myrrha?, Tinctura, fjss adj. 

Naphthalina, gr. ij ad xv. 
Nucis Yomica?, Extractum, Alco- 
holicum, gr. \ ad J. 
Tinctura, gtt. v ad x. 



Nux Yomica, gr. iij ad v. 

Oleum Amygdala? Amara?, gtt. \. 

Ani si, gtt. ij ad v. 

Cajuputi, gtt. ij ad v. 

Erigerontis Canadensis, gtt. 

v ad x. 

Limonis, gtt. ij ad iv. 

Morrhua?, fgj ad f^ss. 

Oliva?, f gj. 

Pimenta?, gtt. ij ad v. 

Ricini, f gj. 

Rosmarini, gtt. ij ad iij. 

Ruta?, gtt. ij ad iij. 

Sabina?, gtt. ij ad iij. 

Sassafras, gtt. iv ad vj. 

Succini Rectificatum, gtt. v 

ad x. 
Terebinthina?, stimulant, gtt. 

v ad xx ; anthelmintic, 

f 5j ad ij. 
— — Tiglii, gtt. \ ad ij. 
Opium, gr. j. 
Opii, Acetum, gtt. x. 

, Confectio, gr. x ad xx. 

, Extractum, gr. ss. 

, Tinctura, gtt. xx ad xxv. 

, Tinctura, Acetata, gtt. xx. 

Tinctura, Camphorata, f 5j 

ad ij. 



XXV111 



TABLE OF DOSES 



Opii, Tinctura, Deodorata, gtt. xx 

ad xxx. 
, Yinum, gtt. xx ad xxv. 

Pareira, 3ss ad j. 
Petroleum, 5ss ad j. 
Phloridzin, gr. x ad xij. 
Piperis, Oleoresina, gtt. j ad iij. 
Pix Liquida, 5ss ad j. 
Plumbi Acetas, gr. j ad iij 

Iodidum, gr. \ ad iij. 



Nitras, gr. \ ad j-. 



Podophylli, Extractum, gr. v ad 

xv. 
, Resina (Podophyllin), 

gr. T \ ad J. 
Potassas, Liquor, gtt. x ad xx. 

Arsenitis, Liquor, gtt. v; 

alterative, gtt. iij ad viij ; 
antiperiodic, gtt. v ad 
xv. 

Acetas, gr. x ad xx. 

Bitartras, 5j ad ij. 

Carbonas Pura, gr. x. 

Bicarbonas, gr. x ad 5ss. 

Chloras, gr. x ad xx. 

Citras, gr. xx ad xxv. 

Citratis, Liquor, fjss. 

Nitras, gr. x ad xv. 

Sulphas, 5ss ad j. 

Tartras, 3j ad §ss. 

Potassii Bromidum, gr. iij ad x. 

Cyanidum, gr. J. 

Ferrocyanidum, gr. x ad 

xv. 

Iodidum, gr. iij ad x. 

Sulphuretum, gr. ij ad vj. 

Primus Yirginiana, 5ss adj. 
Pruni Yirginianas, Iufusum, f*ij. 
, Extractum, Fluidum, f5ss 

ad j. 

, Syrupus, f^ss. 

Pulvis Aromaticus, gr. x ad xx. 
Doveri, gr. x. 

Quassias, Extractum, gr. ij ad v. 

■ , Tinctura, fjj ad ij. 

Quercus Alba, et Q. Tinctoria, gr. 
xx ad 5j. 



Quiniae Sulphas, gr. j ad x. 

Yalerianas, gr. j ad v. 

et Ferri Citras, gr. iij ad v. 

Rhamni Syrupus, fjfss. 
Rheum, 9j ad 5ss. 
Rhei, Fluidum Extractum, f£ss. 
, Extractum Alcoholicum, gr. 

v ad x. 
, Syrupus, Aromaticus, fjj ad 

iv. 

, Tinctura, f §ss. 

Yinum, f3ij. 



Rubia, 9j ad 3ss. 
Rubus Yillosus, et R. Canadensis, 
9j ad 5ss. 

Sabbatia, 3ss ad j. 

Sabina, gr. v ad x. 

Sabinas Oleum, gtt. ij ad iij. 

Salicin, gr. ij ad x. 

Sanguinarise, Tinctura, f3ss ad j. 

, Acetum, gtt. xx ad 

xxx. 
Sanguinarinse Sulphas, gr. ^ ad i* 
Santonin, gr. j ad iij. 
Sarsaparillse, Extractum, gr. x ad 

xx. 
, Extractum, Fluidum, 

f5j. 
, Decoctnm, Composi- 

tum, fgj ad ij.^ 
, Syrupus, Compositus, 

fsss. 
Scammonium, gr. v ad xv. 
Scammonii, Resjna, gr. ij ad vj. 
Scilla, gr. j ad ij. 
Scillae, Acetum, f^ss ad j. 

-, Syrupus, fgj. 

, Syrupus, Compositus, f5ss 

adj. 

, Tinctura, gtt. x ad xl. 

Senega, gr. x ad*xx. 
Senegas, Syrupus, f5j ad ij. 

, Extractum, Alcoholicum, 

gr. j ad iij. 
Senna, 5ss .ad ij. 
Sennas, Confectio, 3j ad ij. 



TABLE OF DOSES. 



XXIX 



Sennae, Extraction, Fluidum, f 5j 

ad f|jss. 
Serpentaria, gr. x ad xxx. 
Serpentariaa, Tinctnra, f 3j- 

, Extractum, Fluidum, 

gtt. x ad xxx. 
Simaruba, 9j ad 3j- 
Sinapis (as an emetic), 59- 
Sodae Acetas, 9j ad 3j- 

Boras, 9j ad ij. 

Carbonas, gr. v ad x. 

Carbonas Exsiccata, gr. ij 

ad x. 

Bicarbonas, gr. x ad xx. 

Phosphas, ^ss ad j. 

Sulphas, |ss. 

et Potassae Tartras, 3\j ad 

5ss. 
Sodii Chloridum, gr. x ad 3y- 
Spigelia, gr. x ad 5j. 
Spigelian, Extractum, Fluidum, gtt. 

xx ad f 3j. 
et Sennas, Extractum Flu- 
idum, f'5j ad f £ss. 
Spiritus ^Etheris Nitrosi, f 3ss ad j. 
Spiritus JEtheris Compositus, f 3ss 

adj. 
Spiritus Pyroxilicus, gtt. x ad xl. 
Stanni Pulvis, §ss. 
Stramonii Folium, gr. j ad ij. 

, Extractum, gr. j. 

, Extractum Alcoholi- 

cum, gr. J ad j. 

, Tinctura, gtt. xx ad 

xxx. 

Strychnia et ejus sales, gr. ^V ad 

i 

Styrax, gr. x ad xx. 
Sulphur, 9j ad 5ij- 
Sulphuris Iodidum, gr. I ad j. 



Tabacum, gr. j ad v. 
Tabaci, Vinum, gtt. x ad xx. 
Taraxaci, Extractum, 9j ad 5j- 

, Extractum, Fluidum, f3J. 



Terebinthina, 9j ad ij. 
Testa Praeparata, gr. x ad 1. 

Ulmi, Infusum, ad libitum. 
Uva Ursi, 3 SS ad j. 
Uva3 Ursi, Extractum Fluidum, 
gtt. x ad f 3j- 

Valeriana, 3ss ad j. 
Valerianae, Extractum, Fluidum, 

f 5ss ad j. 
, Extractum, Alcoholi- 

cum, gr. iij ad x. 

, Oleum, gtt. v. 

, Tinctura, f5j ad ij. 

— , Tinctura, Ammoniata, 

f3j. 

Veratrum Album, gr. j ad iij. 
Viride, gr. j ad iij. 



Veratri Viridis, Extractum, Flu- 
idum, gtt. ij ad 
v. 

, Tinctura, gtt. v 

ad viij. 

Veratria, gr. T x ¥ ad J. 

Zinci Acetas, gr. j ad ij. 

Chloridum, gr. J ad ij. 

Cyanidum, gr. T ^ ad \. 

- Oxidum, gr. ij ad v. 

- Sulphas, gr. j ad x. 
Valerianas, gr. \ ad ij. 



Zingiber, gr. x ad xx. 
Zingiberis, Tinctura, f3j. 

, Extractum, Fluidum, 

gtt. x ad xx. 



BOOK I. 



OF 



INTEENAL BEMEDIES 



CLASS I 



EMETICS. 

Emetics are medicines which excite vomiting, independ- 
ently of any effect arising from the mere quantity of matter 
introduced into the stomach. 

In the administration of Emetics a few simple rules are 
worthy of attention. Whatever may be the apparant neces- 
sity for emptying the stomach, we must take into considera- 
tion all the circumstances of the case, and more particularly 
if there be much arterial excitement with determination to the 
head ; for where these symptoms are present, bloodletting 
should be sometimes premised. 

When it is required, as in cases of poisoning, a full dose of 
the emetic substance is to be administered ; but in the gene- 
rality of instances, it is better to give it in divided doses, fre- 
quently repeated, until the desired effect is produced. In 
cases of torpor or congestion, it is sometimes requisite to 
arouse the system by retching or vomiting, which may be 
done by administering the emetic with only a small quantity 
of fluid; but when the object is to empty the stomach and 
duodenum merely, free draughts of tepid water or weak chamo- 
mile tea ought to be given as soon as nausea takes place. 

When poisons have been taken, our object is to evacuate 
the stomach as speedily as possible, and for this purpose we 
select an emetic which is prompt in its action. But where 
the excitability of the stomach is greatly diminished by a 
Narcotic, it is necessary to assist the emetic by the addition of 
some excitant. When such an effect is caused by opium, the 
system may be generally rendered susceptible by the use of 
vinegar, mustard, or ammonia. In these cases, however, the 
stomach-tube is our best resource. 

The evacuation of the stomach may be greatly facilitated 
by tickling the fauces with a feather, or introducing the point 
3 



34 : EMETICS. 

of the finger as far back as possible and titillating the parts. 
If this fails, a resort to another article of the same class will 
often accomplish the object. 

There are a few cases in which emetics are obviously in- 
admissible, as in apoplexy, or where there is great determina- 
tion of blood to the head, depending iipon constitutional causes, 
pregnancy, hernia, prolapsus uteri, active hemorrhage from 
the lungs and uterus, acute gastritis, etc. If emetic medicines 
are ever allowable in these diseases, it is for the most part in 
nauseating doses only. 

By the frequent use of emetics the stomach acquires an in- 
creased susceptibility to their action ; hence persons of deli- 
cate habits should use them cautiously. 

Powders, etc. 

1. Powder of Ipecacuanha. 

R, Pulveris Ipecacuanhas 9ij. 

Divide in pulveres ij. 

Signa. — One powder to be taken in a little molasses, or sugar 

and water, and to be followed by a draught of tepid water. 

If one powder does not produce the desired effect, the second 

is to be taken in like manner. 

2. Lozenges of Emetia. 

&. Emetias Impuras gr. xxxij ; 
Sacchari 5ij ; 

Mucilaginis Acacias q. s. ut flat massa, in trochiscos sin- 
gulos grana xviij pendentes, dividenda. 
Each lozenge will contain about one-half of a grain of com- 
mercial emetia, sufficient to vomit a child, or to produce 
nausea in an adult. Magendie. 

3. Poicder of Ipecacuanha with Tartarized Antimony. 

B. Pulveris Ipecacuanhas 3ss ; 

Antimonii et Potassas Tartratis gr. j. 
Misce, et divide in pulveres ij. 

Let one powder be taken in water, and if vomiting does not 
ensue in fifteen minutes, give the second in a similar manner. 

Tartar emetic increases the efficacy of ipecacuanha, pro- 
ducing a more prompt and certain effect than the latter drug. 
This combination is an eligible one in most cases where 
emetics are indicated. When tartar emetic is given alone, it 
is generally in solution, a formula for which will be found 
below. {See Formula 10.) 



EMETICS. 35 

4. Powder of Alum. 

R. Aluminis Ij. 

Fiat pnlvis. 

The dose is a teaspoonful, mixed with honey, syrup, or mo- 
lasses, to be repeated every fifteen minutes until free emesis 
is produced. C. D. Meigs. 

5. Powder of Mustard. 

R. Pulveris Sin apis Nigras ,?j. 

Signa. — Take a teaspoonful in a teacupful of tepid water every 
ten minutes. 

This is a very prompt and safe emetic. 

In cases of narcotic poisoning it is necessary to resort to the 
most prompt and certain means of evacuating the stomach. 
Ipecacuanha was formerly thought to be a specific for poison- 
ing by opium, but experience has shown that mustard, salt, 
alum, turpeth mineral, and the sulphates of zinc and copper 
are more reliable. 

[6. Powder of Ipecacuanha and Sulphate of Zinc .] 

R. Pulveris Ipecacuanhas, 
Zinci Sulphatis, aa 9ij. 
Misce, et div. in chart, iv. 
Signa. — Take one every fifteen minutes until vomiting. 

7. Powder of Ipecacuanha and Calomel. 

R. Pulveris Ipecacuanhas gr. viij ; 

Hydrargyri Chloridi Mitis gr. v. 
Misce. 

This powder generally proves both emetic and purgative. 
It is often indicated in the commencement of the eruptive and 
other diseases of childhood in doses of 2 or 3 grains. 

8. Powder of Ipecacuanha and Rhubarb. 

R. Pulveris Ipecacuanhas, 

Pulveris Ehei, aa 3j. 
Misce. 
Signa. — To be taken in syrup. 

More or less purging will generally follow the emetic ope- 
ration of this dose. It is used in congestive and other fevers. 



36 EMETICS, 



Solutions and Mixtures. 

9. Wine of Ipecacuanha and Tartarized Antimony. 

R. Vini Ipecacuanhas f£j ; 

Antimonii et Potassas Tartratis gr. j. 
Fiat solutio. 
Signa. — A teaspoonful to be taken every ten or fifteen minutes, 

until vomiting is induced, which may be assisted with tepid 

drinks. 

10. Mixture of Tartrate of Antimony. 

R. Antimonii et Potassas Tartratis gr. ij ; 
Sacchari 3j ; 
Aquas destillatas f lij. 
Misce, et fiat solutio. 

Signa. — A tablespoonful to be given every ten or fifteen 
minutes, until it vomits freely. 

11. Mixture of Sulphate of Zinc and Alum. 

R. Zinci Sulphatis 5jss ; 
Aluminis 3ss; 
Aquas ferventis Oss, 
Misce, et cola. 

Signa. — A tablespoonful for adults, and a teaspoonful for a 
child of six months old (and so on in proportion to the 
strength and age of the patient), every morning upon an 
empty stomach. 

This is the celebrated solutio vitriolica of Dr. Mosely, who 
principally employed it in dysentery and phthisis pulmonalis. 

12. Mixture of Emetia. 

R. Emetias impuras gr. iv; 
Aquas destillatas f Jij ; 
Syrupi f 3ss. 
Fiat solutio. 

Signa. — Give a dessert- spoonful every half hour. 
Emetia is destitute of the peculiar odor and nauseous taste of 
ipecacuanha, and may, therefore, be preferable in some 
cases. 

It will be observed that we have introduced the impure or 
commercial emetia, which is much less energetic than the 
perfectly white alkaloid. The best antidote for an overdose 
is a strong infusion of nutgalls. Mag-endie. 



EMETICS. 37 

13. Mixture of Ipecacuanha, Tartar Emetic, and Squill 

R. Pulveris Ipecacuanhas 3ss ; 

Antimonii et Potassae Tartratis gr. j ; 

Tincturas Scillas f 5J ; 

Aquas destillatas f 3vij. 
Fiat mistura. 

Signa. — Pour tablespoonfuls at first; afterwards two table- 
spoonfuls every ten minutes until vomiting is induced. 

This mixture is recommended in dropsies previously to 
giving digitalis. 

14. Mixture of Syrup and Wine of Ipecacuanha. 

R. Syrupi Ipecacuanhas flj ; 

Yini Ipecacuanhas f3ij. 
Signa. — Give a teaspoonful to a child three years old, every 
fifteen minutes until it proves emetic. 

The syrup of ipecacuanha, by itself, is too mild to act as an 
emetic, being rather designed as an expectorant. But in 
combination with the wine it provokes free emesis. 



CLASS II. 



AST, EMETICS. 

Under this head may be embraced all remedies having a 
tendency to diminish irritability of the stomach, and thereby 
prevent vomiting and nausea. . Inasmuch as nausea and vo- 
miting are only symptoms, and not in themselves a disease, 
attention must be given to removing the cause, if it is ascer- 
tainable, at the same time that palliatives are administered to 
remove the symptom. 

Practitioners will bear in mind the sympathetic disturb- 
ances of the stomach resulting from cerebral, hepatic, renal, 
and intestinal diseases, and investigate the condition of those 
organs as possible cause of the nausea. 

If an overloaded stomach or the presence of undigested or 
indigestible food is a probable cause, the effort of nature to 
get rid of it should be aided by a gentle emetic, as ipecacuanha 
in dose of 20 grains, powdered mustard in teaspoonful dose, 
or common salt in the same dose in a tumblerful of tepid 
water. 

The simple means to be resorted to to check nausea are as 
follows: — 

' Small pieces of ice, swallowed without being previously 
melted. 

A tablespoonful of lime-water, or a teaspoonful of the 
syrup of lime in two tablespoonfuls of iced milk, every ten 
minutes. 

A teaspoonful of iced brandy, every ten or fifteen minutes. 

An infusion of camphor (made with boiling water), given 
cold, in teaspoonful doses frequently repeated. 

Inhaling the fumes of laudanum heated to a rapid evapora- 
tion, or the vapor of spirits of camphor, or of chloroform, 
carefully used. 

External applications may be made with advantage, ano- 
dyne or rubefacient, such as hot cloths, hot fomentations, 



ANTEMETICS. 39 

mustard cataplasms, and spice plasters. For the latter appli- 
cation an exceedingly convenient method, especially for tra- 
vellers, is furnished in the beautiful preparation of portable 
sinapisms and spice plasters introduced by B. J. Crew, phar- 
maceutist, of this city. 

The application of pounded ice to the spine, along the cer- 
vical and dorsal regions, either in narrow bladders or folded 
in a napkin, or in the bags of Chapman, will often be useful. 

In obstinate vomiting, suppositories of powdered opium, 
containing one grain each, or more if needed, are often very 
efficient. 

In the nausea and vomiting sometimes attending the admin- 
istration of opium internally, the editor has found a strong 
decoction of Java or Laguayra coffee, given in tablespoonful 
doses, pure, to give immediate relief. 

Under the head of tonics will be found many remedies, 
which, under certain circumstances, will prove antemetic by 
stimulating the depressed gastric function and removing irri- 
tability of the stomach. 

Powders and Pills. 

[15. Pills of Calomel and Bismuth^ 

R. Hydrargyri Chloridi Mitis gr. iij ; 

Bismuthi Subnitratis 3ss; 

Syrupi q. s. ut fiat massa, in pilulas xij dividenda. 
Signa. — One pill every two hours. 

In nausea from gastric irritability, or hepatic derangement. 

[16. Powder of Calomel and Morphia.'] 

R. Hydrargyri Chloridi Mitis gr. iij; 

Morphise Sulphatis gr. j ; 

Pulveris Sacchari gr. xij ; 
Misce, et divide in chartulas xij. 
Signa. — One powder placed upon the tongue every two hours. 

In gastric irritation, chronic gastritis. 

[17. Pills of Strychnia and Bismuth^] 

R. Strychnia? gr. j ; 

Bismuthi Subnitratis 9iv; 

Syrupi q. s. 
Misce, et divide in pilulas xx. 
Signa. — Take a pill before each meal. 

In nausea from chronic gastric depression, with pyrosis. 



40 ANTEMETIOS. 

[18. Pills of Oxalate of Cerium.'] 

R. Cerii Oxalatis gr. xv; 

Extracti Gentianae gr. v; 
Misce, et divide in pi]ulas x. 
Signa. — One pill an hour after each meal. 

Eecommended by Sir J. Y. Simpson in nausea of pregnancy. 

[19. Pills of Cerium, Nux Vomica, andiron.] 

R. Cerii Oxalatis gr. xxiv; 

Extracti Nucis Vomicae gr. xij ; 

Ferri redacti gr. xxiv ; 

Syrupi q. s. 
Misce, et divide in pilulas xxiv. 
Signa. — One pill at each meal. 

In the nausea of pregnancy, with general atony. 

Solutions and Mixtures. 

[20. Brandy and Chloroform Mixture.'] 

R. Chloroformi "Ixv ; 

Spiritus Yini Gallici fljss. 
Misce. 
Signa. — A teaspoonful every half hour, in water. 

In nausea from nervous depression. 

[21. Prussic Acid and Morphia^] 

R. Acidi Hydrocyanici diluti gtt. xxiv; 

Morphias Sulphatis gr. j ; 

Elixir Curacoae fljss. 
Misce. 
Signa. — A teaspoonful every two hours, in a little pounded ice. 

In the nausea of cardiac irregularity. 

[22. Sulphuric Acid and Morphia Mixture^] 

R. Morphias Sulphatis gr. j ; 

Acidi Sulphurici Aromatici gtt. lx. 

Elixir Curacoae 

(vel Syrupi Aurantii) fojss. 
Misce. 
Signa. — A teaspoonful every two hours, in cold water. 

In nausea from gastric depression, or intestinal irritation. 



ANTEMETICS. 41 

[23. Mixture of Chloroform and Soda.'] 

R. Chloroformi "ix; 

Alcoholis puri f5ss; 

Sodae Bicarbonatis 3ij >' 

Aquae Menthae Piperitae fjijss. 
Mi see. 
Signa. — A tablespoonful every half hour. 

In nausea attending bowel complaints ; also, in tbe nausea 
of pregnancy with acidity of stomach. 

[24. Mixture of Pyroxylic Spirit.] 

R. Spiritas Pyroxylici Rectificati f*5j ; 

Tincturae Cardamomi Compositae fjjss. 
Misce. 
Signa. — A teaspoonful every four hours. 

For the nausea of pregnancy. H. E. Eastlake. 

[25. Creasote and Bismuth Mixture."] 

R. Creasoti gtt. xij ; 

Bismuthi Subnitratis 3j ; 

Pulveris Tragacanthae gr. xxx ; 

Syrupi Aurantii f^ij ; 

Aquae fjiv. 
Misce. 
Signa. — A tablespoonful every hour or two. 

In nausea from indigestion. 



CLASS III. 



OATHAETIOS. 

As a general rule it maybe observed of cathartics that they 
are capable of fulfilling three different indications : 1. Simply 
to evacuate the bowels ; 2. To excite an increased discharge 
from the mucous coat of the intestines ; and 3. To stimulate 
the neighboring viscera, and cause them to secrete a greater 
quantity of their peculiar fluids. It seldom or perhaps never 
happens that the same article will produce these three different 
effects; and in order to accomplish them, we must combine 
different substances in one formula. 

There are some, as magnesia, that produce their effect by 
absorbing the acid generated in the alimentary canal, and thus 
becoming converted into a purgative salt. There are others, 
as aloes, that expend their principal force upon the rectum 
and large intestines, aud for this reason are very advantage- 
ously employed in diseases of the lower bowels, and of the 
uterus and its appendages. 

These remedies should always be given on an empty sto- 
mach. If administered immediately after a full meal, they 
arrest the digestive process, are liable to produce nausea, if 
not vomiting, and do not open the bowels with the same cer- 
tainty or effect. When simple costiveness is to be removed, 
the evening may be selected for the exhibition of a cathartic. 

If this should not prove sufficient, we can repeat the dose 
in the morning and at regular intervals through the day until 
the effect is produced. " The principle," says Dr. Paris, 
"which should govern our conduct in the administration of 
purgatives, may be briefly stated : The excitement is to he re- 
peated till the requisite action is induced, yet no single excitement 
being such as may prove an irritant to the organ." 

But in the treatment of many diseases it is preferable to 
purge through the day, in order that the sleep of the patient 
may not be disturbed at night. 



CATHARTICS. 43 

The operation of these remedies may be very much accele- 
rated by the free exhibition of diluent drinks, such as gruel, 
barley-water, etc. etc. 

By combination we are enabled to modify and control the 
action of many remedies, and some of the most drastic purga- 
tives may be made to operate mildly and certainly by uniting 
small quantities of several of them in the same dose. 

The addition of an emetic substance, such as tartar emetic, 
or ipecacuanha, in small quantities, gives activity to the com- 
bination, while it modifies the harshness of the drastic purga- 
tives. 

Finally, the operation of a cathartic may often be promoted 
by judicious venesection; and if spasm of the intestines be 
present, opium may be advantageously joined with the purga- 
tive. 

Powders. 

26. Powder of Calomel and Jalap. 

R. Hydrargyri Chloridi Mitis gr. v ; 

Pulveris Jalapse gr. x. 
Misce. 
Signa. — To be given in molasses or syrup. 

27. Powder of Calomel and Rhubarb. 

R. Hydrargyri Chloridi Mitis, 

Pulveris Ehei, aa gr. v ; 

Olei Cinnamomi gtt. j. 
Misce. 
Signa. — To be given in molasses. 

28. Powder of Calomel and Soda. 

R. Hydrargyri Chloridi Mitis gr. viij ; 

Sodge Bicarbonatis gr. xij. 
Misce. 
Signa. — To be given in molasses. 

This combination forms a safe and mild purgative. Nausea 
seldom follows its administration. 

29. Powder of Calomel, Jalap, and Rhubarb. 

R. Hydrargyri Chloridi Mitis, 

Pulveris Jalapse, 

Pulveris Ehei, aa gr. v ; 

Olei Cinnamomi gtt. j. 
Misce. 
Signa. — To be given in syrup or molasses. 



44 CATHARTICS. 

30. Powder of Rhubarb and Magnesia. 

R. Pulveris Khei 9j; 

Magnesias 9ss ; 
Olei Cinnamomi gtt. j. 
Misce. 

Signa. — To be given in syrup or molasses. 

31. Calcined Magnesia. 
R. Magnesias 3j- 
R. Magnesias (Henry) 3j. 
R. Magnesias (Husband) 3j. 
R. Magnesias (Ellis) 3j. 

Magnesia is an antacid, and laxative, much used in the dis- 
eases of women and children. The lightness and consequent 
bulk of the officinal powder, constitute serious objections to 
its use. To obviate these, Henry, of England, and Thomas 
J. Husband, and Charles Ellis & Co., of this city, have seve- 
rally prepared a heavy magnesia as a substitute. Henry's 
magnesia has long been favorably known; Husband's and 
Ellis's are entitled to equal consideration with the imported 
article, since the experiments of Prof. Procter have shown 
that, for forming liquid mixtures, and for rapidity of antacid 
action, they are equal if not preferable to it. 

Dose of either, from thirty grains to a drachm, in milk or 
water. The operation of magnesia, when it meets with no acid 
in the bowels, is promoted by giving the patient lemonade. 

32. Powder of Jalap and Cream of Tartar. 

R. Pulveris Jalapas £j ; 

Potassas Bitartratis 3yj. 
Misce, et divide in pulveres yj. 
Signa. — Give one powder every three hours in molasses. 

This powder is a hydragogue cathartic. " It constitutes 
one of the best medicines which I have ever tried, as well in 
dropsical as in all other cases, where long-continued purging 
is demanded." N. Chapman. 

33. Compound Powder of Jalap and Gamboge. 

R. Pulveris Jalapas Compositi 3iij ; 

Pulveris Gambogias gr. yj. 
Misce, et divide in pulveres vj. 

Signa. — Give one powder every two hours in molasses or 
syrup. 



CATHAKTICS. 45 

The compound powder of jalap has long been celebrated 
in dropsical affections ; but it also forms a very convenient 
purge in many inflammatory cases. In order to increase its 
certainty and activity, we may conveniently add gamboge, as 
in the above formula. 

34. Powder of Sulphur and Cream of Tartar. 

R. Sulphuris loti *ss; 

Potassse Bitartratis Ij. 
Misce. 
Signa. — Mix in a sufficient quantity of molasses, and give a 

teaspoonful three or four times a day to children. Used in 

various diseases of the skin. 

It should be always recollected that sulphur promotes in- 
sensible perspiration in a very marked degree, and hence 
renders the patient more liable to be affected by vicissitudes 
of climate. 

35. Powder of Sulphur and Calcined Magnesia, 

R. Sulphuris praecipitati, 

Magnesise, aa ^ss. 
Misce. 
Signa. — A teaspoonful to be taken three or four times a day. 

This preparation is better adapted to delicate stomachs than 
the former. Either of them forms a good aperient during an 
alterative course of medicine. 1ST. Chapman. 

36. Seidlitz Powders. 

R. Potassse et Sodse Tartratis 3ij; 

Sodse Bicarbonatis 9ij. 
Piat pulvis. 
Signa. — To be dissolved in a wineglassful of cold water. 

R. Acidi Tartarici pulverisati gr. xxxv. 
Signa. — Dissolve in a wineglassful of water and mix the two 
solutions. "To be taken while in a state of effervescence. 

This is a very popular medicine, and justly so, as it is a 
gentle aperient, and may be taken by persons whose stomachs 
would reject any of the ordinary saline preparations. 



46 CATHARTICS. 

37. Stevens's Saline Powders, 

B. Sodas Bicarbonatis 3ss ; 
Sodii Chloridi 3j ; 
Potassas Cliloratis gr. vij. 

Misce. 

This powder was administered by Dr. Stevens in half a 
tumblerful of tepid water, or a little thin beef tea, in cholera, 
and repeated every half hour until the patient recovered from 
the collapse. 

Pills. 

38. Griffitts's Cathartic Pills. 
B. Pulveris Jalapas, 

Pulveris Ehei, 

Saponis, aa Jss; 

Hydrargyri Chloridi Mitis gr. xxv; 

Antimonii et Potassas Tartratis gr. jss ; 

Aquas destillatas, quantum sunicit ut flat massa. 
Divide in pilulas xxv. 
Signa. — Two of these pills may be taken at once, and repeated 

in two hours if not sufficient. 

This combination of purgatives with the tartrate of anti- 
mony forms an excellent antibilious remedy ; and, in cases of 
fever, prepares the alimentary canal for the reception of other 
remedies. S. P. G-riffitts. 

39. Pills of Blue Mass, Jalap, and Aloes. 

B. Pilulas Hydrargyri, 

Pulveris Jalapas, 

Pulveris Aloes Socotrinas, aa gr. xv; 

Syrupi, q. s. ut flat massa. 
Divide in pilulas xij. 

Signa. — Three may be taken at night, and the same dose be 
repeated in the morning, if the first is ineffectual. 

40. Pills of Blue Mass, Rhubarb, and Soda. 

E. Pilulas Hydrargyri gr. ix; 
Pulveris Ehei, 

Sodas Bicarbonatis, aa gr. xij ; 

Syrupi Ehei Aromatici q. s. ut flat massa, in pilulas xij 
dividenda. 
Signa. — One pill to be taken twice or three times a day, as an 
alterative, in derangement of the liver. 

Jos. Hartshorne. 



CATHARTICS. 47 

41. Pills of Calomel and Colocynth. 

R. Extract! Colocjnxthidis Compositi 9ij ; 

Hydrargyri Chloridi Mitis 9j. 
Misce, et divide in piliilas xx. 
Two or three of these pills will generally act as a cathartic. 

42. Pills of Colocynth and Podophyllin. 

R. Extracti Colocynthidis Compositi 3ss; 

Kesinse Podophylli gr. iij. 
Misce, et divide in pilulas xij. 
Signa. — One or two pills at bedtime. 

This is an excellent substitute for the officinal compound 
cathartic pill. One pill acts usually as a laxative, and three 
pills produce free purgation. E. P. Thomas. 

43. Pills of Aloin and Podophyllin. 

R. Aloin gr. xxiv; 

Kesinse Podophylli gr. xij ; 

Oleoresinae Zingiberis "liv; 
Fiat massa, et divide in pilulas xxiv. 

Signa. — Dose, one pill as a laxative, two or three pills as a 
purgative. 

" The experience of numerous practitioners here and in 
Europe confirms the utility of aloin as a mild though pretty 
certain cathartic in doses of two to three grains." 

• E. Parrish. 
44. Anti- Gout Pill. 

R. Extracti Colchici Acetici, 

Extracti Colocynthidis Compositi, aa gr. x ; 

Morphise Acetatis gr. ijss. 
Fiat massa, in pilulas x dividenda. 

This is a useful anti-gout pill, adapted to mitigate an actual 
paroxysm. One pill should be given every two hours, until 
the bowels and kidneys are acted on. Eobert Dick. 

45. Becqu&reVs Anti- Gout Pill. 

R. Quinise Sulphatis 3ij ; 

Extracti Digitalis Alcoholici gr. xv; 

Extracti Colchici Acetici 9ij. 
Fiat massa, et divide in pilulas 1. 
Signa. — Take one pill every three hours. 



48 CATHAETICS. 

These pills are highly recommended by M. Trousseau, of 
Paris, in the treatment of gout. 

46. Pills of Extract of Butternut and Jalap. 

R. Extracti Juglandis 3ss ; 

Pulveris Jalapge 9j ; 

Saponis gr. x. 
Misce, et riant pilulae xv. 

Signa. — Three of these may be taken for a dose, and if they 
do not operate, two more may be safely administered. 

The extract of butternut, either alone or in combination, is 
highly recommended as a cathartic in fevers, dysentery, etc., 
from its tendency to act on the liver. 

47. FothergilVs Pills. 

R. Extracti Colocynthidis Compositi 3jss ; 

Antimonii Oxidi Jss. 
Misce, et divide in pilulas xxx. 

One of these pills will generally produce a free evacuation ; 
but two or more may be taken when required. 

During the last century, the antimonial preparations were 
held in high repute by the London physicians, and this com- 
bination of an antimonial with active cathartics is still re- 
garded with favor. 

[48. Lartigue's Gout Pill.] 

R. Extracti Colchici Acetici gr. viij ; 

Extracti Digitalis gr. iv ; 

Colocynthidis Compositi 9iv. 
Misce, et divide in pilulas xx. 
Signa. — One pill at bedtime. 

In gout or chronic rheumatism. 

49. MitchelVs Aperient Pills. 

R, Pulveris Ehei 9iv: 

Pulveris Aloes Socotrinse Bij ; 

Hydrargyri Chloridi Mitis gr. iv ; 

Antimonii et Potassae Tartratris gr. ij. 
Fiat pulvis, et adde — 

Saponis, in pulverem contriti 9ij ; 

Aquae q. s. ut fiat massa. 
Divide in pilulas xl. 

Signa. — Take one pill every night as a laxative, or three pills 
as a purgative. J. K. Mitchell, 



CATHAKTICS. 49 

50. Pills of Elateriurn. 
R. Elaterii gr. ij ; 

Extracti Grentianse gr. xiv. 
Misce, et divide in pilulas xvj. 

Signa. — Give one pill every three hours, until free purging 
takes place. 

Elaterin, the active principle of this drug, can now be pro- 
cured in a, state of purity; and as it is more certain in its 
effects, a formula- is subjoined under the head of purgative 
wines and tinctures. 

51. Pills of Croton Oil. 

R. Olei Tiglii gtt. ij ; 

Micse Panis q. s. ut fiant pilulas iv. 
Signa. — One every hour until they operate. 

This powerful remedy has lately been restored to the Ma- 
teria Medica. One drop is a full dose, and frequently less will 
answer every purpose. 

The following is a more certain and less drastic mode of 
exhibiting the oil. 

52. Pills of Croton Oil and Qolocynth. 

R. Olei Tiglii gtt. ij; 

Extracti Colocynthidis Compositi gr. x. 
Misce, et divide in pilulas iv. 

Signa. — Give one pill every two hours, until a purgative 
effect is produced. 

53. Chapman's Peristaltic Persuaders. 

R. Pulveris Ehei 3j; 

Pulveris Ipecacuanhas gr. x; 

Olei Cari gtt. x; 

Pulveris Acacias q. s. ut fiat massa. 
Divide in pilulas xx. 

Signa. — Take two pills at bedtime, in obstinate constipation. 

1ST. Chapman. 

54. Chapman's Anti-dyspeptic Pills. 

R. Pulveris Aloes Socotrinas, 

Mastiches, aa 5ss; 

Pulveris Ipecacuanhas gr. x ; 

Olei Foeniculi fflviij. 
Fiat massa, et divide in pilulas xx. 
Signa. — Take one pill every night at bedtime. 



50 CATHARTICS. 

These are indicated in cases of dyspepsia attended by habit- 
ual constipation. 1ST. Chapman. 

55. Pills of Aloes and Gentian. 

R. Pulveris Aloes Capensis 3j ; 

Extracti Grentianas 3ss; 

Olei Cari gtt. x ; 

Syrupi q. s. ut fiat massa, in pilulas singulas grana qua- 
tuor pendentes, dividenda. 
Signa. — Take two or three pills for a dose. 

The addition of a tonic increases the purgative action of 
aloes, and diminishes its tendency to griping. 

66. JP ills of Aloes, Guaiac, and Rhubarb. 

B . Pulveris Guaiaci Eesinae 3j ; 

Pulveris Aloe's Capensis gr. xxxvj ; 

Pulveris Ehei 3ij ; 

Terebinthinas Canadensis quantum sufncit ut flat massa 
in pilulas xlviij dividenda. 
Signa. — One to be taken every three hours. 

This combination forms a highly stimulating cathartic. 

57. Pills of Rhubarb and Sulphate of Iron. 

R. Pulveris Ehei 3jss ; 

Ferri Sulphatis exsiccatae 3ss ; 

Saponis 9ij. 

Aquas destillatas q. s. ut fiat massa in pilulas xl dividenda. 

The intention of these pills is to remove costiveness, and 
impart tone to the bowels. Three may be taken for a dose at 
bedtime. S. P. Griffitts. 

58. Pills of Ox Gall. 

R. Fellis Bovini inspissati 3ij ; 

Olei Cari gtt. x ; 

Magnesias Carbonatis q. s. ut fiat massa in pilulas xxxvj 
dividenda. 
Signa. — Take two pills three times daily. Clay. 



CATHAKTICS. 51 

Confections and Electuaries. 

59. Lenitive Electuary and Cream of Tartar. 

R. Confectionis Sennae lij ; 

Confectionis Aurantii Corticis 3ij 5 

Potassse Bitartratis 3ij- 
Mi see, et fiat electuarium. 
Signa. — Take a piece the size of a marble, night and morning. 

Used in habitual constipation. 

60. Confection of Senna, Sulphur, and Nitre. 

R. Sulphuris loti sjss ; 

Confectionis Sennae §ij ; 

Potassas Mtratis 3j ; 

Syrupi Aurantii Corticis q. s. ut fiat confectio. 
Signa. — One or two drachms to be taken twice a day. Used 
in hemorrhoidal affections. 

61. Electuary of Jalap, Nitre, etc. 

R. Pulveris Jalapae, 

Potassae Bitartratis, 

Potassse Nitratis, aa Iss ; 

Confectionis Sennae |j ; 

Syrupi q. s. ut fiat electuarium. 
Signa. — A bolus the size of a hazel-nut may be taken three 
times a day. 

This preparation once gained considerable celebrity as a 
popular remedy for hemorrhoids. 

Emulsions and Mixtures. 

62. Castor Oil, or "Oleaginous" Mixture. 

R. Pulveris Acacias, 

Pulveris Sacchari, aa 3iij ; 

Aquae f^ij. 
Tere simul, et adde gradatim — 

Olei Ricini §j. 
Dein adde, 

Aquae Cinnamomi fjj. 
Misce secundum artem. 
Signa. — Take a tablespoonful every two hours. 

This is one of the least disagreeable modes of administering 
this nauseous but valuable medicine. 



52 CATHARTICS. 

63. Another Form for Children. 
R. Olei Eicini 3ij; 
Y itellum unius ovi ; 
Aquae Foeniculi, 
Aquae Menthae Viridis, aa flj. 
Fiat emulsio. 

Signa. — Give a teaspoonful morning and night to a child three 
months old. 

64. Mixture of Oil of Turpentine. 

R. Olei Terebinthinae f Jj ; 

Pulveris Acacias, 

Sacchari, aa 3ss; 

Aquae Menthae Piperitae f siv. 
Misce. 
Signa. — A tablespoonful every two hours until it operates. 

This preparation must be made in the same manner as the 
oleaginous mixture. 

65. Oleaginous Mixture with Oil of Turpentine. 

R. Olei Eicini ^jss; 

y itellum unius ovi; 

Sacchari 3ij ; 

Olei Terebinthinae Iss; 

Aquae Menthae Piperitae f^iv. 
Misce secundum artem. 
Signa. — A large tablespoonful may be taken every hour or two. 

This preparation is much used by some of our best practi- 
tioners in cases requiring a brisk and stimulating cathartic. 
It has also been recommended as a purgative after the effects 
of an overdose of opium have been partially subdued by pre- 
liminary remedies. B. Ellis. 

66. Mixture of Croton Oil. 

R. Olei Tigliiniij; 

Mucilaginis Acaciae, 

Aquae destillatae, aa f 3j. 
Misce. 
Signa. — -Take a teaspoonful every two hours until it operates. 

67. Saponaceous Mixture of Croton Oil. 

R. Olei Tiglii niviij; 

Potassae gr. vj ; 

Aquae destillatae f3ij. 
Fiat solutio. 
Signa. — From three to six drops may be given for a dose, 



CATHARTICS. 53 

This is a substitute for the soap of croton oil proposed by 
the French, which is more troublesome to make. 

Mr. Conwell states that four drops of croton oil rubbed on 
and around the umbilicus, will produce a cathartic effect ; 
even the odor of it has been known to excite the alimentary 
canal, either as an emetic or purgative. 

68. Solution of Epsom Salt and Tartar Emetic. 
R. Magnesias Sulphatis 3j ; 

Antimonii et Potassas Tartratis gr. ss; 

Aquas destillatas f ^ iij ; 

Succi Limonis recentis f ij. 
Misce, et fiat solutio. 

A tablespoonful to be given every two hours until it ope- 
rates. Or one-half may be taken as a purgative dose. 

69. Solution of Epsom Salts with Jalap and Nitric Acid. 
R. Magnesias Sulphatis 3 ss ; 

Tincturas Jalapas f3j ; 

Acidi Nitrici gtt. ij ; 

Aquas Menthas Yiridis foij. 
Misce. 

Signa. — To be taken for a draught. The nitric acid destroys 
in part the bitter taste of the salt. 

70. Mixture of Magnesia and Rhubarb. 
R. Magnesias 3ss ; 

Pulveris Ehei gr. ij ; 

Sacchari 3j ; 

Spiritus Menthas Piperitas gtt. vj ; 

Aquas destillatas fjjss. 
Fiat mistura. 

Signa. — A teaspoonful to be given every two hours to chil- 
dren, until it operates. 

This preparation is designed for the bowel complaints of 
children, in which it is very serviceable. Laudanum can be 
added according to the age and condition of the patient. 

71. Mixture of Magnesia and Colchicum. 
R. Magnesias 3j ; 

Sacchari, 

Pulveris Acacias, aa 3j ; 

Aquas destillatas fjiv; 

Yini Colchici Eadicis gtt. xl. 
Fiat mistura. 

Signa. — Take a tablespoonful every two hours until it ope- 
rates. 



54 CATHARTICS. 

This preparation is much used in gouty and rheumatic affec- 
tions. Laudanum can be added if requisite. 

72. Scudamore 's Mixture. 

R. Magnesias 9iv ; 

Magnesias Sulphatis oj ; 

Aquas Menthas Viridis f Ev ; 

Aceti Colchici f^ss ; 

Syrupi fsj. 
Fiat mistura. 

Dose, a tablespoonful every two hours. Chiefly used in gouty 
paroxysms. Sir C. Scudamore. 

73. Acid Solution of Ver atria. 

R. Veratrias gr. j ; 

Acidi Sulphurici Aromatici gtt. v ; 
Aquas destillatas fjij. 
Fiat solutio. 

Dose, a teaspoonful. This solution is said to be a good sub- 
stitute for the Eau Medicinale of Husson, in gouty affec- 
tions. Magendie. 

74. Mixture of Fluid Extract of Butternut. 

R. Extracti Juglandis Fluidi (Thayer) f3ij ; 

Syrupi Zingiberis f3ij ; 

Aquas f^ss. 
Misce. 
Signa. — Take one-half as a draught. 

The butternut is a mild cathartic, operating usually without 
pain or griping. It is adapted to cases of habitual constipa- 
tion. 

75. Purgative Mineral Water. 

R. Liquoris Magnesias Citratis flxij. 

Signa. — Take a teacupful every two hours until it operates. 

From its resemblance to lemonade in taste, this constitutes 
one of the most pleasant laxatives now in use. A child five 
years old, may take a wineglassful as a dose. 

The country practitioner can make a good approximation 
by neutralizing carbonate of magnesia with citric acid, in the 
proportion of fourteen parts of the former to twenty parts of 
the latter, and flavoring the solution with lemon syrup. 

Half an ounce of the neutral salt of citrate of magnesia 
constitutes a dose. 



CATHARTICS. 55 

76. Purgative Soda Water. 

R. Sodae Carbonatis Crystallisatae $ix] 

Acidi Tartarici 3yj ; 

Aquae f ox; 

Syrupi Limonis f ,Ijss. 
Misce in ampulla vitrea et adjice — ■ 

Sodas Bicarboxiatis 3ss. 
Signa. — To be taken by draughts of a wineglassful every two 
hours. 

Prof. J. Lawrence Smith published a formula for purgative 
soda water, as prepared by him on a large scale, from which 
the above is condensed. As a purgative, it is mild and cer- 
tain, producing watery evacuations. 

77. Fluid Extract of Senna, Ginger, etc. 

R. Extracti Sennae fluidi f3ij ; 

Extracti Ehei fluidi f 3j ; 

Syrupi Zingiberis f3v; 

Aquae fsj. 
Misce. 
■Signa. — Dose, a tablespoonful. 

This is an efficient mixture, operating without much pain. 
The dose should be repeated every four hours until a purga- 
tive effect is produced. 

Infusions and Decoctions. 

78. Infusion of Senna and Salts. — Black Draught. 

R. Sennae, 

Menthae Viridis, aa gss; 

Aquae bullientis Oj. 
Macera per horam unam, cola, et adde — 

Magnesias Sulpha tis iij. 
Solve. 

Signa. — Administer a wineglassful every two hours, until 
purgation is produced. Guy's Hosp. 

79. Infusion of Senna and Manna. 

R. Sennae 3yj; 

Mannae 3ss; 

Cardamomi 3ij ; 

Aquae bullientis f Iviij. 
Macera per horam unam et cola. 

Signa. — One-half to be taken at a draught ; and if insufficient, 
the remainder in two or three hours. 



56 CATHARTICS. 

80. Decoction of Prunes and Senna. 

R. Pruni .liij ; 

Infusi Sennas Ojss. 
Coque ad Oj, et cola. 
Signa. — Dose, a wineglassful at bedtime. 

In making this decoction, the coriander seed, directed in 
the officinal infusion of senna, had better be omitted until 
near the close of the process. This forms a good laxative 
for pregnant women. Sugar enough to make a syrup im- 
proves the taste. 

81. Infusion of Senna, Rhubarb, and Manna. 

R. Sennas 3vj ; 
Mannas %iv ; 
Ehei contusi, 
Cardamomi, aa 5ij ; 
Aquae bullientis Oj. 
Macera per horam unam et cola. 

Signa. — Dose, a wineglassful every two hours, until it ope- 
rates. 

82. Alkaline Mixture of Aloes. 

R. Aloes Capensis ^ijss ; 

Sodas Bicarbonatis 3vj ; 

Aquas Oiv; 

Spiritus Lavandulas Compositi f .1 ij. 
Misce. Macera per dies quatuordecim et cola. 
Signa. — Dose, a teaspoonful after each meal. 

This is an excellent preparation for Hospital or Dispen- 
sary practice. It is particularly serviceable in cases of 
dyspepsia, attended with acidity of the stomach and torpor of 
the liver and bowels. J. P. Mettauer. 

Wines and Tinctures. 

83. Wine of Golchicum Root and Laudanum. 
R. Yini Colchici Eadicis f 3jss ; 

Tincturas Opii f 3ij - 
Misce. 
Signa. — Give twenty drops every three hours. 

The preparations of colchicum often occasion vomiting and 
purging, if given alone; but when combined with small 
quantities of opium or morphia, as above, these effects are 



ENEMATA. 57 

prevented, while the specific property of colchicum to control 
gout and rheumatism seems to be increased. Eisenman. 

84. Tincture of Elaterin. 
R. Elaterin gr. j ; 

Alcoholis f Ij. 
Solve ; dein adde — 

Acidi Nitrici gtt. iv. 
Misce. 

Signa. — Dose, twenty to forty drops in a tablespoonful of 
cinnamon water. Used as a hydragogue cathartic in drop- 
sies. Mokeies. 

Enemata. 

Enemata, used either as auxiliaries to, or substitutes for 
cathartics, very properly succeed that class of remedies. 

They are employed to fulfil other indications, and the 
different preparations will be noticed under their appropriate 
heads. It is usual to direct three times the quantity of the 
medicine to be given for an enema that is required for a dose 
by the mouth. For the purpose of procuring a discharge 
from the bowels, this rule may generally be observed ; but in 
some of the powerful remedies occasionally administered, as 
opium and tobacco, it might be attended with serious conse- 
quences. "When using these active drugs, it is better to give 
only double the quantity. 

The bulk of the enema also varies according to the object 
we have in view. If purgation is to be effected, the subjoined 
proportions afford a good rule; but if the remedial agent is 
to be retained for some time, a small amount is obviously 
indicated, lest the mere bulk of the injection cause an imme- 
diate discharge. 

The following are the proportions recommended by Pro- 
fessor Chapman in the ordinary enemata for persons of dif- 
ferent ages : A child between the ages of one and five years, 
from f ^iv to f Jvj. A youth of ten or fifteen years, half a pint ; 
and an adult, from a pint to a quart, according to circum- 
stances. 

In all cases, a warm folded towel should be firmly pressed 
against the anus for fifteen minutes after the injection is 
thrown up. 

The facility with which an enema is administered may be 
very much increased by attending to certain precautions, viz : 
1. Introduce the finger, thoroughly lubricated with soap or 



58 ENEMATA. 

lard, into the rectum, as a guide to the pipe. 2. Pass the 
pipe backward and toward the left side, in the course of the 
rectum. 3. Introduce the injection slowly, so as not to sur- 
prise the bowel by a sudden distension, causing it to contract 
as suddenly and eject the fluid. 

85. Castor Oil, Molasses, and Salt Enema. 

R. Olei Eicini fiij ; 
Syrupi Fusci fsij ; 
Sodii Chloridi ,?j ; 
Infusi Lini tepidi Oj. 
Fiat enema. 

One-half to be administered at once, and the remainder in half 
an hour, if the first produces no evacuation. The chloride 
of sodium is an active ingredient. In fact, there is no better 
enema than simple salt and water at the ordinary tempera- 
ture ; and sea- water fresh from the ocean answers the same 
purpose. 

86. Soap Enema. 

R. Saponis Vulgaris incisi ^j ; 

Infusi Lini tepidi Oss. 
Misce pro enemate. 

This is an effectual clyster in cases of flatulence and im- 
pacted feces. 

87. Ox Gall Enema. 

R. Fellis Bovini spissati 5ij ; 
vel 
Fellis Bovini recentis f^j ; 
Aquse tepidge Oj. 
Misce. 

Signa. — Use for an injection, in cases of obstinate constipa- 
tion and hardened feces. 

88. Enema of Oil of Turpentine. 

R. Olei Terebinthinee foss ; 

Yitellum unius ovi. 
Terre simul, et adde, gradatim, 

Decocti Hordei tepidi f.?x. 
Used as a stimulating injection. Guy's Hospital Phaem. 



SUPPOSITORIES. 59 

89. Enema of Senna and Epsom -Salts. 

R. Infusi Sennse Oj ; 

Magnesiae Sulphatis 3ij. 
Misce. — One-half to be exhibited as an enema, and the re- 
mainder, if necessary, in half an hour. 

90. Enema of Tobacco. 
R. Tabaci 3j ; 

Aquae bullientis Oj. 
Macera per sextain horse partem et cola. 

One-quarter or one-half of this infusion may be used as an 
injection ; and, if necessary, the same quantity may be given 
in half an hour. Employed for strangulated hernia, obstinate 
colic, spasm of the urethra, and for the reduction of disloca- 
tions. Guy's Hospital Pharm. 



Suppositories. 

(From Siipponere, to put under.) 

Suppositories constitute a class of remedies that has hitherto 
been little used by American practitioners. They are solid ; 
round, cylindrical, or conical in form ; and intended for intro- 
duction into the anus. They are prepared by mingling seda- 
tive, astringent, or purgative medicines with cocoa-butter, suet, 
soap, or thick honey. 

When made with suet or cocoa-butter, these substances 
should be melted, at a gentle heat, with an eighth or a twelfth 
of white wax, according to the season of the year. The medi- 
cinal agent is added, and the fluid mass poured into metallic 
cones to cool and become solid. A suppository should weigh 
from twenty grains to two drachms, and be as large as the end 
of the little finger. Purgative suppositories are larger than 
those of an anodyne character. By the heat of the body, the 
suet or cocoa-butter is softened, and the remedial agent is thus 
permitted to develop its effects. 

Soap suppositories are formed by cutting soap into conve- 
nient shapes. Suppositories with honey are prepared by boil- 
ing down this substance till it becomes sufficiently thick to 
retain its shape when cool. 

Laxative suppositories being rarely, if ever, used for adults, 
formulae for this purpose are unnecessary ; for other indications 
they will be found in their appropriate places. For children, 
suppositories of soap or molasses candy are often of great use. 



CLASS IV. 



DIUEETIOS. 

The rules for. the administration of this class of remedies 
are few and simple. 

Where there is much arterial excitement, a judicious use of 
the lancet may precede the employment of diuretics, and the 
patient be kept cool to avoid perspiration. 

In order to insure the full effect of diuretics, diluent drinks 
should be freely given, and especially those containing some 
diuretic medicine. 

Powders. 

91. Powder of Squill and Nitre. 

R. Pulveris Scillse gr. vj ; 

Potassse Nitratis 3j- 
Misce, et fiant pulveres vj. 
Signa. — One to be given three times a day in sugar and water. 

Some aromatic, such as cinnamon, may be added to this pre- 
paration if the stomach is irritable. Employed in dropsies. 

92. Powder of Nitre, Cream of Tartar, and Tartar Emetic. 

R. Potassas Nitratis iss ; 

Potassas Bitartratis 3iv ; 

Antimonii et Potassae Tartratis gr. j. 
Tere simul et flat pulvis. 
Signa. — Take a teaspoonful three times daily. 

This combination is designed for cases of acute gonorrhoea. 
The free administration of saline diuretics in this disease often 
effects permanent cures. J. Weill. 



DIURETICS. 61 

93. Powder of Uva Ursi and Soda. 

R. Pulveris Uvae Ursi 3jss; 

Sodae Bicarbonatis 5j« 
-Misce, et divide in chart ulas xij. 
Signa. — One three times a day in sugar and water. 

In nephritic complaints and affections of the bladder. 

94. Powder of Ergot and Cubebs. 

R. Pulveris Ergotae Bij ; 

Pulveris Cubebae 3j ; 

Pulveris Cinnamomi Jss ; 

Sacchari 5j- 
Divide in pulveres viij. 

Signa. — One may be given three times a day. In leucorrhcea 
and gleet. * Dr. Ryan. 

95. Powder of Squill, Cream of Tartar, etc. 

R. Antimonii et Potassae Tartratis gr. ij ; 

Pulveris Scillas 3j ; 

Potasses Bitartratis 3jss ; 

Potassae Sulphatis Iss. 
Fiat pulvis, et divide in pulveres xx. 
Signa. — Take one powder four times daily. 

This combination produces copious watery stools, together 
with a considerable now of urine ; properties that render it 
valuable in cases of general dropsy. Eberle. 

96. Powder of ColcMcum, and Cream of Tartar. 

R. Pulveris Colchici radicis 3ss ; 

Potassae Bitartratis 3ij- 
Misce, et divide in pulveres vj. 
Signa. — One powder every four hours. 

This combination is very serviceable in acute rheumatism, 
Purging usually results from its employment. Sometimes the 
pulse becomes slow or irregular. J. Jackson. 



Pills. 

97. Pills of Squill and Calomel. 

R. Hydrargyri Chloridi Mitis, 

Pulveris Scillae, aa gr. xij ; 

Confectionis Rosae q. s. ut fiant pilulae xij. 
Signa. — One night and morning, in dropsies depending upon 
visceral derangement. 



62 DIURETICS. 

This preparation is one of the most celebrated of the diu- 
retics, especially when disease of the liver is the cause of effu- 
sion. When the calomel affects the month it should be omitted, 
and the squill combined with some other diuretic. 

[98. Pills of Digitalis, Podophyllin, and Iron.'] 

R. Digitalis Pulveris gr. xij ; 

Podophyllin gr. j ; 

Ferri Perchloridi gr. xij. 

Syrupi Acacias q. s. 
Misce, et divide in pilulas xij. 
Signa. — One pill to be taken every three or four hours. 

In the dropsy following intermittent fever or in anaemic 
conditions. 

99. Pills of Digitalis, Calomel, and Opium. 

R. Pulveris Digitalis gr. xij ; 

Hydrargyri Chloridi Mitis gr. vj ; 

Pulveris Opii gr. iv ; 

Confectionis Rosas q. s. ut flant pilulas xij. 
Signa. — One to be taken every eight honrs. 

In hydrothorax and ascites. 

100. Pills of Copaiba and Cubebs. 

R. Ceras flavas gr. xv. 

Liqnefac cum leni calore, dein adde — 

Copaibas gr. xxx ; 

Pulveris Cubebas 3j- 
Misce intime, et divide in pilulas xxx. 
Signa. — Two pills every four hours. 

This furnishes a good mode of exhibiting copaiba and 
cubebs in small quantities, as in chronic diseases of the bladder, 
or irritability of the nrethra. J. M. Maisch. 

101. Pills of Extract of Dandelion and Blue Mass. 

R. Extracti Taraxaci 3ss; 

Pilulas Hydrargyri gr. x. 
Misce, et riant pilulas x. 

Signa. — One to be taken morning, noon, and night. In dropsy 
complicated with disease of the liver. 



DIURETICS. 63 

102. Granules of Di gitalin. 

R. Digitalini gr. j ; 

Sacchari 3j ; 

Aquas q. s. 
Fiat massa, et divide in pilulas lx. 
Signa. — Take one granule four times daily. 

Prescribed in dropsy as a substitute for digitalis. 

Homolle. 

103. Pills of Digitalis, Squill, and Juniper. 

R. Pulveris Digitalis 9j ; 

Pulveris Scillas 3ss ; 

Olei Juniperi gtt. viij ; 

Syrupi q. s. ut fiat massa, in pilulas xij dividenda. 
Signa. — Take one pill three times daily. 
Used in dropsy. Peakson. 

104. Pills of Digitalis, Squill, and Blue Mass. 

R. Pulveris Digitalis gr. v ; 

Pulveris Scillas gr. x ; 

Pilulas Hydrargyri 3ss. 
Fiat massa, et divide in pilulas x. 
Signa. — Take one pill three times daily. 

This combination was highly recommended by the late Dr, 
Baillie, of London, as an alterative and diuretic in anasarca. 



Infusions and Decoctions. 

105. Infusion of Digitalis and Sweet Spirit of Nitre. 

R. Digitalis 3j ; 

Aquas bullientis Oss. 
Macera per horas tres, cola, et adde — 

Spiritus JEtheris Nitrosi, f oj. 
Signa. — Dose, for an adult, half a tablespoonful three times a 
day. 

The prostrating effect of digitalis should always be kept in 
mind by the practitioner ; and the rule, that when it acts 
upon the stomach, the bowels, the pulse, or the kidneys, it should 
be discontinued, cannot, when we consider the power of the 
article, be too scrupulously observed. B. Ellis. 



64 DIURETICS. 

106. Infusion of Juniper Berries and Cream of Tartar. 

B. Juniperi contusi ^iv; 

Aquas bullientis f ,?xij ; 

Spiritus Juniperi (Holland Gin), f^iv. 
Macera per horas duodecim et exprime. 

Signa. — Take a wineglassful, mixed with a teaspoonful of 
cream of tartar, three times a day. 

This is an excellent mode of administering a favorite diu- 
retic, in cases of dropsy, in which a little stimulation would 
be admissible. W. Procter, Jr. 

107. Infusion of Parsley Root. 

B, Petroselini lj; 

Aquas bullientis Oj. 
Fiat infusum et cola. 

A teacupful may be taken with a teaspoonful of sweet spirit 
of nitre, every three or four hours. 

A popular and very useful remedy for strangury, arising 
from blisters. It is also an efficient diuretic in dropsies. 

108. Infusion of Dandelion, etc. 

B. Infusi Taraxaci fsiv; 

Extracti Taraxaci 3ij 5 

Sodas Carbonatis 3ss; 

Potassas Tartratis 3iij ; 

Tincturas Ehei f 3iij ; 

Tincturas Hyoscyami gtt. xx. 
Fiat mistura. 

Signa. — One-third part to be taken three times a day. In 
dropsical and visceral affections. C. D. Meigs. 

109. Decoction of Indian Hemp. 

B. Apocyni Cannabini 5ss; 

Aquas Ojss. 
Coque ad Oj, et cola. 
Signa. — Take a wineglassful three times a day. 

This has been found useful in general dropsy, acting as a 
hydragogue cathartic, and as a diuretic. The diuretic pro- 
perties of the decoction will be increased by the addition of 
an ounce of juniper berries to each pint. G-riscom. 

The young practitioner must carefully distinguish between 
preparations of the native drug under consideration (Apocy- 



DIURETICS. 65 

num Cannabinum), and the powerful, imported extract of 
Cannabis Sativa; as, unfortunately, they both bear the same 
trivial name of Indian Hemp. 

110. Decoction of Pareira Brava Root. 

R. Pareira? contusse Iss; 
Aquss bullientis Oiij. 
Coque, leni calore, ad Oj, et cola. 
Signa. — Take a wineglassful every two hours. 

" Pareira Brava has a great influence over chronic inflam- 
mation of the bladder, lessening very materially the secretion 
of the ropy mucus, which is itself a very great evil, and, I 
believe, diminishing the inflammation and irritability of the 
bladder also." . Sir B. Brodie. 



Solutions and Mixtures. 

[111. Liquor Potass se in Milk.] 

R. Liquoris Potassaa gtt. xx; 

La'ctis recentis f^ij. 
Fiat haustus. 
To be taken every two or three hours until relieved. 

In dysury, irritation of bladder, and frequent micturition 
from acrid and concentrated urine; useful in the albuminuria 
of pregnancy. 

112. Cider Mixture. 

R. Juniperi contusi, 

Sinapis, 

Zingiberis, aa jfss; 

Armoracise contusas, 

Petroselini, aa oj ; 

Succi fermenti pomorum Oij. 
Macera per diem unam, et cola. 

Signa. — A wineglassful may be taken three or four times a 
day. 

The above compound was recommended by the late Dr. 
Jos. Parrish, in cases of general dropsy which admit of stimu- 
lation, and in which the urinary secretion is deficient. The 
cider should be old and sound. 

5 



bb DIUEETICS. 

113. Mixture of Oil of Juniper. 

B. Olei Juniperi f 5ss ; 

Spiritlis JEtheris Mtrosi, 

Tincturae Digitalis, aa f 5iij. 
Misce. 
Signa. — Give thirty drops every three hours. 

This is the formula of the " diuretic drops" celebrated in 
Germany as a diuretic remedy, and used in all cases in which 
medicines of this class are indicated. Hufelaxd. 

114. Diuretic Wine. 

R. Juniperi contusi 3 x ; 

Pulveris Digitalis 3ij ; 

Pulveris Scillse 3j ; 

Yini Xerici Oj. 
Macera per dies quatuor, et adjice — 

Potassae Acetatis oiij. 
Exprime et coia. 
Signa. — Dose, a tablespoonful three times daily. 

This preparation is employed in " l'Hotel Dieu de Paris," 
and is found to be an efficient diuretic. Tkousseau. 

115. Mixture of Juniper, Squill, etc. 

B. Potassae Acetatis 3v; 

Potassae Bicarbonatis 3j ; 

Aquas f^xij; 

Tincturae Scillas f 3j ; 

Spiritus Juniperi Compositi f^j. 
Fiat mistura. 
Signa. — Take two tablespoonfuls three times a day. 

Employed in dropsy. Beown. 

116. Mixture of Digitalis, Acetate of Potassa, etc. 

B. Infusi Digitalis f^iv ; 

Potassae Acetatis 3ij ; 

Spiritus ^Etheris Nitrosi f 3ij ; 

Aquae Cinnamomi f Jjss. 
Eiat mistura. 
Signa. — Take a tablespoonful every four hours. 

Eecommended in the treatment of dropsy supervening 
upon cardiac disease. Kilgoue. 



DIUKETICS. 67 

117. Mixture of Caniharides and Sweet Spirit of Nitre. 

R. Tincturae Cantharidis, 

Spiritus iEtheris Nitrosi, aa gtt. lx ; 

Sacchari 3j ; 

Aquae Menthae Yiridis f^ij. 
Fiat mistura. 

Signa. — A teaspoonful may be taken every three hours, de- 
sisting if strangury should supervene. 

A stimulant diuretic. Used in atony of the bladder. 

118. Mixture of Oil of Turpentine. 

R. Olei Terebinthinae n^c; 

Pulveris Acacias, 

Sacchari, aa 3j ; 

Aquae Menthae Viridis f 3iv. 
Fiat mistura. 

Signa. — A tablespoonful four or five times a day, aided by 
some diuretic drink. 

This remedy is used with great benefit in nephritic com- 
plaints, and especially in the passage of calculi through the 
ureters. 

119. Mixture of Benzoic Acid, etc. 

R. Acidi Benzoici 9iv; 

Spiritus Juniperi Compositi flss; 

Syrupi Tolutani f Jjss ; 

Aquae f^ij. 
Fiat mistura. 
Signa. — Give a dessert- spoonful every four hours. 

This combination is recommended in the phosphatic variety 
of gravel. It is also useful in the treatment of diabetes. 

[120. Another Form.] 

R. Acidi Benzoici 3ij ; 

Potassae Bicarbonatis Sss ; 

Spiritus JEtheris Nitrosi f 3j ; 

Syrupi Limonis f ^ij ; 

Liquoris Ammonias Acetatis f^iij. 
Misce. 
Signa. — A tablespoonful to be taken four or five times daily. 

An excellent combination in the albuminuria of preg- 
nancy. 



b« DIUKETICS. 

121. Mixture of Ulaterium, Colchicum, etc. 

B. Elaterii gr. j ; 

Spiritus iEtheris ISTitrosi f Sij ; 

Tincturas Scillas f Iss ; 

Aceti Colchici f 3ij ; 

Syrupi fSj. 
Fiat mistura. 
Signa. — Take a teaspoonful four times a day in a little water. 

Dr. Ferriar recommends the above in the several forms of 
dropsy, and more especially in hydrothorax. 

122. Tincture of Colchicum and Digitalis. 

B. Tincturas Colchici, 

Tinctures Digitalis, 

Spiritus JEtheris Nitrosi, aa f 3j. 
Misce. 
Signa. — Dose, twenty drops on a lump of sugar. 

Given as a diuretic in dropsy and hydrothorax. 

HlLDENBRAND. 

123. Mixture of Citrate of Potassa, Squill, etc, 

B. Potassas Carbonatis Purae 3j ; 

Succi Limonis q. s. ad saturandum ; 

Tincture Scillas f ^ss ; 

Tincturas Opii "Ixxx ; 

Aquas Cinnamomi f £iv. 
Misce. 

/Signa. — A tablespoonful every three hours throughout the 
day. 

The vinegar or oxymel of squill, if preferred, may be sub- 
stituted in this preparation. We use the tincture because it 
is more uniform, and less liable to spontaneous changes. 

124. Mixture of the Acetate of Potassa, and Spirit of Minder er us. 

B. Liquoris Ammonias Acetatis f Jij ; 

Potassas Acetatis Sij- 
Misce. 
Signa. — A tablespoonful every three hours for a dose, 

Kecommended for gravel and lithic acid deposits. 



DIUEETICS. 69 

125. Mixture of Buchu and Acetate of Potassa. 

R. Extracti Buchu Fluidi f^ss; 

Potassas Acetatis 3ij ; 

Syrupi f 3jss ; 

Aquas f 3iv. 
Misce. 
Signa. — A tablespoonful every four hours. 

This is an excellent diuretic combination, and its value may 
be farther enhanced by the addition of sweet spirit of nitre. 

MOETON". 

126. Mixture of Buchu and Uva Ursi. 

R. Extracti Buchu Fluidi, 

Extracti Uvas Ursi Fluidi, aa f 3ij ; 

Syrupi Acacias f 3ss ; 

Aquas Menthas Yiridis f Jjj. 
Misce. 
Signa. — A dessert- spoonful every three hours. 

Used in blennorrhosa, atony, and paralysis of the bladder. 

127. Mixture of Copaiba. 

R. Copaibas Iss; 

Spiritus iEtheris Mtrosi f Iss ; 

Pulveris Acacias 3ij ; 

Sacchari 3j ; 

Aquas destillatas fliv; 

Spiritus Lavandulae Compositi f 3ij ; 

Tincturas Opii f3j. 
Fiat mistura secundum artem. 
Signa. — A tablespoonful three times a day. Chapman. 

This remedy is more especially used in gonorrhoea, and is 
considered by Professor Chapman as a specific in that dis- 
ease. A preferable mode of exhibiting balsam copaiba, con- 
sists in dropping the quantity prescribed for a dose in a 
wineglass of water, and then adding to it a small quantity of 
the compound tincture of gentian. The balsam collects into 
a globule and is surrounded by the tincture, which, leaving 
its taste in the mouth, covers that of the nauseous balsam. 

B. Ellis. 



70 DIUEETICS. 

128. Mixture of Copaiba, Cubebs, etc. 

R. Copaibas, 

Pulveris Cubebas, aa 3ss; 

Acacias, 

Sacchari, aa 3ij ; 

Aquas f Hvij ; 

Tincturas Opii Campboratas f 3ss. 
Misce secundum artem. 
Signa. — A tablespoonful every tbree bours. 

"We bave found tbis remedy, in some obstinate cases of 
gonorrhoea, more efficacious than tbe preceding formula. 
Tbe tincture of cubebs may be substituted for tbe powder, if 
desirable. Balsam copaiba is sometimes given by tbe French 
pbysicians in tbe form of enema, for tbe cure of gonorrhoea. 
Capsules containing it are also in common use. 

S. G. Moeton. 

129. Another Form. 

R. Copaibas ^jss; 

Mucilaginis Acacias flv; 

Olei Limonis, gtt. vj ; 

Tincturas Cubebas f ^j : 

Spiritus ^Etberis Nitrosi f 5ss. 
Fiat mistura. 

Signa. — Take a tablespoonful tbree times a day, in gonor- 
rhoea. J. Eandolph. 

130. Compound Mixture of Copaiba. 

R. Olei Copaibas f3j ; 

Alcobolis, 

Aquas Mentbas Piperitas, 

Syrupi, aa f^ss; 

Spiritus ^Etheris Mtrosi f 5ss. 
Fiat mistura. 

Signa. — To be taken during tbe day in four doses, followed 
by demulcent drinks. 

In cbronic gonorrhoea. 



DIURETICS. 71 

131. Another Form. {Lafayette Mixture.) 

R. Copaibas Ij ; 

Liquoris Potassas f 3ij. 
Tere simul et adjice — 

Spiritus iEtheris Nitrosi f *j ; 

Spiritus Lavandulae Compositi f lij ; 

Syrupi Acacias f Jiv. 
Misce. 
Sigria. — A tablespoonful three times a day. 

Used in gonorrhoea. 

132. Mixture of Fluid Extract of Cubebs. 

R. Oleoresinas Cubebas f 3ij ; 

Syrupi Acacias, 

Syrupi Tolutani, aa f Iss ; 

Spiritus iEtheris Nitrosi f3ij. 

Aquas f sijss. 
Fiat mistura. 
Signa. — Give a tablespoonful every three hours. 

Used in gonorrhoea. Thomas. 



CLASS Y. 



AXTILITHICS A3D LITHOXTEIPTIOS. 

Aktilithics are those substances which 'arrest or prevent 
the formation of stone in the kidneys or bladder. Lithontrip- 
tics are supposed to possess the power of dissolving calculous 
concretions, by acting on the substance which serves as the 
bond of union to the saline or acid particles composing the 
stone. 

To administer these remedies with any degree of success, 
requires a chemical knowledge of the ingredients which enter 
into the formation of the different kinds of stone ; attention 
must also be given to the properties of the urine. 

As derangement of the digestive organs almost always co- 
exists with these foreign bodies in the urinary apparatus, we 
shall gain a very considerable advantage by combining the 
remedies of this class with those which have a tendency to 
restore the healthy action of the stomach and bowels. 

When lithic or uric acid abounds in the urine, the alkalies 
will be found to produce the greatest benefit ; but where the 
salts are evidently of the phosphatic or magnesian character, 
the muriatic acid, or some one of the mineral acids, will con- 
stitute the most appropriate remedy. 



Powders and Pills. 

133. Powders of Uva Ursi, Barh, and Opium. 

R. Pulveris Uvas Ursi, 

Pulveris Cinchonas Flavas, aa 3ij ; 
Pulveris Opii gr. iij. 
Misce, et divide in chartulas vj. — Of which one may be taken 
three or four times a day. 



ANTILITHICS AND LITHONTRIPTICS. 73 

The above is the original prescription of Dr. Ferriar, for 
urinary deposits, who advises the patient to drink two ounces 
of lime-water after each dose. It is designed to give tone to 
the digestive and urinary apparatus, and thereby to prevent 
the further formation of stone. 

134. Pills of Carbonate of Soda and Soap. 

R. Sodas Carbonatis exsiccatas, 

Saponis, aa 3j ; 

Extracti Glycyrrhizas, 

Aquas, aa q. s. ut flat massa in pilulas xxx dividenda. 
Signa. — Take three pills, three times a day. 

Prescribed when uric acid deposits are found in the urine, 

Beddoes. 

Solutions, Mixtures, etc. 

135. Solution of Potassa, Tincture of Hops, etc. 

R. Liquoris Potassas f ^ss ; 

Tincturas Humuli f.^jss; 

Infusi Calumbas f liv ; 

Syrupi Aurantii Corticis f 3ij. 
Fiat mistura. 
Signa. — Take a tablespoonful three times daily. 

Employed in cases where the urine indicates an excess of 
uric acid. H. Green. 

136. Solution of Bicarbonate of Soda, etc. 

R. Sodas Bicarbonatis 3j ; 

Infusi Quassias f iiv ; 

Tincturas Calumbas Oj. 
Misce. 
Signa. — A tablespoonful four times a day. 

Used in the same cases as the preceding. 

137. Mixture of Bicarbonate of Soda, etc. 

R, Sodas Bicarbonatis 5j ; 

Misturae Amygdalae f^iv; 

Copaibas f 3ij ; 

Tincturae Opii gtt. lx. 
Fiat mistura secundum artem. 
Signa. — A tablespoonful every three hours. 

In acute pain of the bladder. 



74 ANTILITHICS AND LITHONTRIPTICS. 

r 

In combination "with each of these alkaline preparations, 
demulcent drinks may with benefit be freely employed. 

138. Fluid Extract of Hydrangea Arhorescens. 

R. Eadicis Hydrangeas contusi ^xvj ; 

Aquae bullientis Ovj. 
Coque ad Oss, cola, et adjice — 

Mellis Oij. 
Coque ad Ojss, et adjice — 

Spiritus Yini Gallici Oss. 
Signa. — Dose, a teaspoonful three times daily. 

This formula is furnished by Mr. Edward Parrish, based on 
one devised by Dr. S. W. Butler, who first called the atten- 
tion of the profession to the valuable properties of this root. 
In chronic catarrh of the bladder and gravel it has proved 
highly beneficial, as also in cases of stone. Indeed, in some 
instances, small stones have been passed during its employ- 
ment. Dr. W. L. Atlee, of Philadelphia, and Dr. J. C. S. 
Monkur, of Baltimore, report favorably of its use in cases of 
earthy deposits in the urine. 

139. Mixture of Carbonate of Magnesia and Gentian. 

R. Magnesia Carbonatis 5j ; 

Infusi Grentianae Compositi f^vj. 
Fiat mistura. 
Signa. — A wineglassful to be taken three times a day. 

This mixture is recommended by Mr. Brande, of London, 
as superior to the alkalies, in cases where uric acid abounds. 

[140. Mixture of Nitro-hydrochloric Acid.'] 

R. Acidi Mtro-hydrochlorici diluti f oij ; 

Tinctures Grentianae f 3iij ; 

Tincturae Aconiti foliorum "Ixxx ; 

Syrupi Aurantii f Ej ; 

Infusi Aurantii ad f Iviij. 
Misce. 
Signa. — Take one-sixth part three times daily. 

In oxaluria. T. H. Tanner. 



ANTILITHICS AND LITHONTKIPTICS. 75 

[141. Mixture of Iron and Hydrochloric AcidJ] 

R. Tincture Perri Chloridi f3ij ; 

Acicli Hydrochlorici diluti f 3ss ; 

Syrupi f .lijss ; 

Aquae f^iij. 
Misce. 

Signa. — A tablespoonful four times daily, rinsing the mouth 
well after it. 

Oxaluria, with anemia and nervous atony. 

142. Mixture of Muriatic Acid. 

R. Acidi Hydrochlorici diluti f 3j ; 

Decocti Hordei f Jviij. 
Misce. 

Signa. — Dose, a tablespoonful largely diluted three times a 
day. 

Prescribed for the prevention of phosphatic deposits in the 
urine. 

Nitric acid has been given with the same intention, but 
appears to be less useful than muriatic. 

143. Mixture of Phosphoric Acid. 

R. Acidi Phosphorici diluti fiss; 

Infusi Calumbse f^vij; 

Tincturse Cardamomi Compositse f Iss. 
Piat mistura. 
Signa. — A tablespoonful in sweetened water every four hours. 

Used to correct phosphatic deposits in the urine. 

Neligan. 

144. Mixture of Oil of Turpentine and Ether. 

R. Olei TerebinthinaB, 

iEtheris, aa f 3iv. 
Misce. 

Signa. — A large teaspoonful to be taken on sugar every half 
hour until relief is obtained. 

Oil of turpentine has been frequently given of late in the 
passage of urinary concretions down the ureters. It is stated 
by Dr. Physick that this remedy, proportioned in its dose to 
the degree of suffering, affords more prompt relief than any 
other. 



76 ANTILITHICS AND LITHONTRIPTICS. 

145. Injection of Carbonate of Soda. 

R. Soclae Carbonatis 3j; 

Saponis 3ij ; 

Aquae destillatae f 3xij. 
Fiat solutio et cola. 

Signa. — Use as an urethral injection, for softening uric acid 
deposits. Hopital de Montpellier. 

146. Injection of Carbonate of Lithia. 

R. Lithias Carbonatis 5j ; 

Aquae Oj. 
Solve. 
Signa. — Use as an urethral injection. 

Mr. Alexander Ure recommends the carbonate of lithia as 
an injection into the bladder for the solution of uric acid 
deposits. He suggests its special use for removing the sharp 
angular points and asperities of the broken fragments, where 
the practice of crushing is adopted. 

Dr. Garrod recommends the internal employment of carbo- 
nate of lithia in the uric acid diathesis, two to three grains 
being given in free solution three times a day. 



CLASS YI. 



DIAPHOEETICS. 

During the exhibition of this class of medicines the patient 
must be confined to his bed ; and when diaphoresis is once 
excited, every precaution should be taken lest it be suddenly 
checked. 

"When the skin continues steadily hot and dry, all external 
warmth must be removed, and cold water freely applied to 
the temples, hands, feet, etc., while the room is to be kept cool 
by a free current of fresh air. Under these circumstances, 
cold water may be frequently and plentifully drunk by the 
patient. Diaphoretics given in conjunction with these general 
means, will act with much more certainty than if great heat 
of the surface is maintained by covering the patient with 
heavy bedclothes. If it be desirable to produce perspiration 
when the heat of the skin is not above the natural standard, 
we shall, obtain our object most readily by placing the patient 
in a warm bed, giving him warm drinks freely, placing his 
feet in warm water, or applying hot bottles, or bags of sand, 
to the different parts of his body. The bags of sand accommo- 
date themselves to the inequalities of the surface, and therefore 
form an excellent mode of applying heat externally. Warm 
bricks, covered with cloths, and wetted with vinegar, may 
also be used advantageously. Employed in this way they 
form a steam-bath. The same effect may be produced by con- 
ducting the vapor of alcohol through a tube, under the bed- 
clothes of the patient. 

In a few words, then, we have described the manner of pro- 
ducing diaphoresis under opposite states of the system. In 
the first instance we solicit, in the second we rather extort it. 

It may be proper to observe, that in the febrile affections 
the frequent change of linen about the patient is not only 



78 DIAPHORETICS. 

warrantable, but absolutely necessary, whilst employing this 
class of remedies. 

Where, however, we are desirous of producing what is em- 
phatically termed " a sweat" we should envelop the patient 
in a flannel shirt or gown, and avoid, as was before observed, 
every cause which may suddenly check the cutaneous dis- 
charge, and more especially purging and diuresis. 

In the treatment of ordinary fevers, we usually resort to 
articles recognized by the profession as being capable of pro- 
ducing perspiration or sweating, soon after their exhibition ; 
while in chronic diseases, as syphilis, scrofula, and the*cachectic 
state following the use or abuse of mercury, others are em- 
ployed which combine an alterative property with their tend- 
ency to the skin. It is therefore deemed advisable to make 
two sub-classes, viz., 1. Ordinary Diaphoretics, and 2. Altera- 
tive Diaphoretics. 



Sub-Class I.— ORDINARY DIAPHORETICS. 

Powders. 

147. Dover's Powder, Camphor, and Saltpetre. 

R. Camphoras, redactas in pulverem gr. v ; 

Potasses Nitratis gr. xx ; 

Pulveris Ipecacuanhas Compositi gr. x. 
Tere simul et riant pulveres ij. 
Signa. — One powder to be taken at bedtime. 

This excellent diaphoretic is serviceable in febrile cases 
complicated with irregular nervous action. Simpson. 

[148. Tyson's Antimonial Powder i\ 

R. Antimonii Oxidi gr. j. 

Calcis Phosphatis gr. ix. 
Misce, flat pulvis subtilissimum ; divide in chartulas x. 
Signa. — Dose as a diaphoretic, one powder every two or three 
hours. 

From long use of this preparation the editor regards it as 
the most efficient and reliable of all the antimonials. If pro- 
perly prepared, the dose usually given in the books, three 
to five grains, is too large, except as an emetic. 



DIAPHOKETICS. 79 

149. James's Powder. 

R. Pul vis Antimonialis, Ed. 3j. 

Divide in chartulas vj. 

Signa. — One every two or three hours in syrup or molasses. 

Employed in febrile conditions. 

150. Nitrous Powders. 

B. Potassae Nitratis 3j; 

Antimonii et Potassas Tartratis gr. ss; 

Hydrargyri Chloridi Mitis gr. vj. 
Fiant pnlveres vj. 

Signa. — One to be taken every two hours in syrup or mo- 
lasses. 

In febrile affections. 

The calomel may be omitted or diminished, at the discretion 
of the practitioner. 

151. Poivders of Opium, Ipecacuanha, Calomel, and Saltpetre. 

B. Pulveris Opii gr. iij; 

Pulveris Ipecacuanhas gr. vj ; 

Hydrargyri Chloridi Mitis gr. jss; 

Potassae Nitratis 3ss. 
Fiant pulveres vj. 
Signa. — One to be taken every three or four hours. 

This is a valuable anodyne and alterative diaphoretic. 

152. Powders of Calomel, Opium, and Ipecacuanha. 

B. Pulveris Opii gr. iv; 

Hydrargyri Chloridi Mitis gr. ij ; 

Pulveris Ipecacuanhas gr. viij. 
Divide in pulveres viij. 
Signa. — One to be taken every two hours. 

This combination is recommended by Professor Chapman 
in dysentery. From its evident diaphoretic tendency we have 
been induced to place it under this head. 

153. Powders of Sulphur et of Antimony, Calomel, etc. 

B. Antimonii Sulphurati, 

Hydrargyri Chloridi Mitis, aa gr. vj ; 

Pulveris Guaiaci Kesinae 3j. 
Fiant pulveres vj. 
Signa. — One to be taken morning and evening. 



80 DIAPHORETICS. 

Double or even triple proportion of the ingredients may be 
used if necessary. 

Given in cutaneous diseases. 

154. Soda Powder of Guy's Hospital. 

R. Sodas Carbonatis exsiccatse 3j; 
Hydrargyri Chloridi Mitis gr. xij ; 
Pulveris Cretas Compositi, Lond. 3ij. 

Misce. 

Signa. — Give three to eight grains at night for a week, in 
infantile gastric fever; followed in the morning by five 
grains of rhubarb mixed with ten grains of the sulphate of 
potassa. Dr. Fordyce says of the above: "Had I been 
more ambitious of dying a rich man than of living a useful 
member of society, the powers of our antihectic powder in 
curing, as if by miracle, the hectic fever and the swelled 
bellies of children in London, would have remained a secret 
while I lived." Goldhstg Bird. 

155. Compound Powder of Guaiacum. 

R. Pulveris Guaiaci Kesinas, 

Potassas Mtratis, aa 3j ; 

Pulveris Ipecacuanhas gr. iij ; 

Pulveris Opii gr. ij. 
Fiant pulveres vj. 

Signa. — One to be taken every three hours in a little jelly or 
molasses. 

A stimulating diaphoretic, and particularly serviceable in 
acute rheumatism after the reduction of inflammatory symp- 
toms. 

Solutions and Mixtures. 

156. Solution of Morphia and Wine of Ipecacuanha. 

R. Morphias Acetatis jj; 

Acidi Acetici diluti fij. 
Solve; dein adde — 

Alcoholis diluti fivij; 

Vini Ipecacuanhas Oij. 
Misce. 
Signa. — Dose, from fifteen to thirty drops. 



DIAPHORETICS. 81 



157. Neutral Mixture. 

R. Succi Limonis recentis f^jss; 

Potasses Carbonatis q. s. ad saturandum; 

Saccliari 3ij ; 

Antimonii et Potassas Tartratis gr. ss ; 

Aquas destillatae f^iij. 
Misce. 
Signa. — A tablespoonful to be taken every two hours. 

This preparation is one of our most agreeable diaphoretics. 
Its powers are decidedly increased by the addition of tartar 
emetic, which, however, may be omitted, and the sweet spirit 
of nitre be substituted, if preferred. 

158. Solution of Citrate of Potassa. 

R. Potassae Citratis 3iij; 

Olei Limonis gtt. ij ; 

Sacchari 3ij ; 

Aquae destillatae f^iv. 
Misce. 
Signa. — A tablespoonful to be taken every two hours. 

This preparation is a good substitute for the preceding, 
and is in several respects to be preferred. Spirit of nitre 
may be added when indicated. 

159. Effervescing Draught. 

R. Potassae Carbonatis 3ij; 

Aquae destillatae f§iv. 
Solve. 

R. Succi Limonis recentis, 
Aquae destillatae, aa f^ij. 

Misce. 

Signa. — Mix two tablespoonfuls of the lemonade with one of 
the alkaline solution, and let the mixture be drunk while 
effervescing. To be repeated every two hours. 

This preparation differs from the neutral mixture more in 
the mode of exhibition than in any other important particular. 
It is of great value when irritability of the stomach precludes 
the use of ordinary diaphoretics. 



82 DIAPHORETICS. 

160. Mixture of Spirit of Minder er us and Antimonial Wine. 

B. Liquoris Ammonia Acetatis f^ij ; 

Aquas Cinnamomi f ^j ; 

Vini Antimonii f 5j ; 

Aquas destillatas f|ij. 
Fiat mistura. 
Signa. A tablespoonful every two or three hours. 

The excellent diaphoretic known as the spirit of Minde- 
rerus, appears to have been first used by Boerhaave, in 1732. 
With us it is generally prescribed in combination, as in the 
preceding or the following form. 

161. Spirit of Minder erus, Sweet Spirit of Nitre, etc. 

B. Liquoris Ammonias Acetatis fHvj; 

Syrupi Limonis f^ij ; 

Vini Antimonii fSjss; 

Spiritus iEtheris Mtrosi f3ij; 

Tincturas Opii gtt. xlv. 
Fiat mistura. 
Signa. — Take a tablespoohful every two hours. Eberle. 

[162. Mixture of Morphia and Nitre, etc.'] 

B. Morphia Acetatis gr. j ; 

Spiritus ^Etheris Mtrosi f 3ss ; 

Syrupi Limonis f §ijss ; 

Liquoris Ammonias Acetatis fliij. 
Misce. 
Signa. Give a tablespoonful every two hours. 

As a diaphoretic in fevers, attended with pain or nervous 
irritability. 

163. Sweet Spirit of Nitre and Antimonial Wine. 

B. Spiritus iEtheris Nitrosi f 3j ; 

Vini Antimonii f3ij. 
Misce. 
Signa. — A teaspoonful may be taken every hour or two hours, 

in barley-water, during the hot stage of intermittent and 

other fevers. 



DIAPHOEETICS. 83 

164. Sweet Spirit of Nitre with Antimonial Wine and 
Laudanum. 

B. Tincturas Opii gtt. xxv; 

Spiritus JEtheris Nitrosi f 3j; 

Vini Antimonii gtt. xx; 

Aquas destillatas f^ss. 
Fiat mistura. 

Signa. — To be given at once, and the dose to be repeated 
every three hours. 

Dr. Chapman observes, in his Therapeutics, that " this com- 
bination very frequently acts as a diuretic in dropsy, and has 
more than once, within my knowledge, removed the effusion 
in this disease, under circumstances the least to be expected." 

165. Mixture of Guaiacum, Saltpetre, etc. 

R. Pulveris Gruaiaci Resinas 3ij; 

Potassas Nitratis 5jss; 

Antimonii et Potassas Tartratis gr. j ; 

Pulveris Acacias, 

Pulveris Extracti Grlycyrrhizas, aa 3j ; 

Aquas destillatas f^viij. 
Fiat mistura. 
Signa. — A tablespoonful three or four times a day. 

This preparation, if made without the liquorice, is disposed 
to turn green, which gives it an unpleasant appearance, and 
sometimes induces the patient to refrain from it until the phy- 
sician arrives. It is employed principally in rheumatic cases. 

B. Ellis. 

166. Mixture of Nitrate of Potassa. 

R. Decocti Hordei Oj; 

Potassas Nitratis 3ij ; 

Succi Limonis flj. 
Fiat potus. 

To be used warm as a common drink in doses of a wine- 
glassful. 

Administered in this way, saltpetre proves an excellent 
diaphoretic ; but if given in cold infusion its action is chiefly 
manifested on the kidneys. 



84 DIAPHORETICS. 

167. Mixture of Tolu with Wine of Antimony. 

R. Tincturae Tolutanas f3v; 

Pulveris Acaciae, 

Sacchari, aa 3j ; 

yini Antimonii f 3j ; 

Aquas Cinnamomi f^ij. 
Fiat mistura. 
Signa. — A tablespoonful three or four times a day. 

This is a stimulating diaphoretic, and will be found ser- 
viceable in pectoral diseases accompanied with an excessive 
mucous discharge depending on debility of the bronchial 
membrane. 

168. Mixture of Gelsemium. 

R. Extracti Gelsemii Fluidi (Thayer), fjj; 

Syrupi Limonis f 3ij ; 

Aquae f3xiij. 
Misce. 
Signa. — Give a teaspoonful every two hours. 

The yellow jessamine (Gelsemium semper vir ens) has a de- 
pressing and sedative influence upon the nervous centres, and 
it diminishes the force and frequency of the heart's action. It 
has been employed by practitioners in various parts of the 
United States with benefit in febrile diseases and rheumatism. 
In full doses it causes vertigo and impaired vision. 

169. Mixture of Aconite and Wine of Colchicum. 

R. Extracti Aconiti Alcoholici gr. xij ; 

Syrupi f 3j ; 

Yini Colchici Seminis f^ss. 
Fiat mistura. 
Signa. — Take fifteen drops every three hours. 

Used in acute and chronic rheumatism, gradually increasing 
the dose. Weber. 

170. Mixture of Aconite and Spirit of Mindererus. 

R. TincturaB Aconiti Kadicis nixxx; 

Liquoris Ammonias Acetatis f^ij ; 

Syrupi Limonis f^ss. 
Misce. 
Signa. — Give a dessert-spoonful every three hours. 



DIAPHORETICS. 85 

Employed beneficially in acute rheumatism and pleurisy. 
In the latter disease, aconite often relieves the peculiar lanci- 
nating pain in a surprising manuer. Its action should be care- 
fully watched. R. P. Thomas. 

171. Mixture of Aconite and Veratrum Viride. 

R. Tincturae Aconiti Folii f 5v ; 

Extracti Veratri Yiridis Eluidi f3j. 
Misce. 
Signa. — Give twelve drops every two hours. 

Under the combined influence of aconite and veratrum vi- 
ride, the force and frequency of the pulse in fevers or inflam- 
mations can be reduced with safety and rapidity. It is neces- 
sary, however, to watch the effects of these remedies. 



Infusions. 

172. Infusion of Boneset. 

R. Eupatorii Ij ; 

Aquas bullientis Oj. 

Macera per horam dimidiam in vase leviter clauso et cola. 

Signa. — Take a wineglassful every hour, till perspiration is 
freely induced. The infusion must be taken as hot as it can 
be drunk ; otherwise it may produce vomiting. 

Used in colds, influenza, and intermittent fever. 

173. Infusion of Pleurisy Root. 

R. Radicis Asclepiadis, contritae 3j ; 

Aquas bullientis Ojss. 
Fiat infusum. 

Signa. — A teacupful to be taken warm, as frequently as the 
stomach will bear it. 1ST. Chapman. 

Professor Chapman observes of this plant : "Asa diapho- 
retic, I think it is distinguished by great certainty and per- 
manency of operation, and has this estimable property, that 
it produces its effects without increasing much the force of the 
circulation, raising the temperature of the surface, or creating 
inquietude and restlessness." — Therapeutics^ vol. i. p. 347. 



86 DIAPHOKETICS. 

Sub-Class II.— ALTERATIVE DIAPHORETICS. 

Pills. 

174. Pills of Cinnabar and Serpentaria. 

R. Hydrargyri Sulphureti Rubri, 

Pulveris Serpentarias, aa 3ss ; 

Syrupi q. s. 
Piant pilulse xij. 
Signa. — Two of these to be taken three times a day. 

They are alterative as well as diaphoretic, and are useful 
in herpetic and other obstinate cutaneous complaints. 

175. Plummets Pills. 

R. Hydrargyri Chloridi Mitis, 

Antimonii Sulphurati, aa 5ss ; 

Pulveris Gruaiaci Resinas 5j ; 

Syrupi fusci q. s. ut nant pilulae lx. 
Signa. — Three pills to be taken night and morning. 

These pills were recommended by Professor Plummer, in 
leprosy, secondary syphilis affecting the skin, gleets, old 
ulcers, etc. etc. The decoction of guaiacum generally accom- 
panies their use. 

Decoctions. 

176. Decoction of Burdock. 

R. Radicis Lappae §iij; 

Aquae Oiij. 
Coque ad Oij, et cola. 
Signa. — A teacupful may be taken five or six times a day. 

Used in syphilis, scurvy, arthritic affections, and rheuma- 
tism. 

177. Decoction of Mezereon. 
R. Mezerei 3yj ; 

Aquae Oyj; 
Coque ad colaturae Oiv. 
Sub finem coctionis, adde — 

Extracti Glycyrrhizae ij, et cola. 
Signa. — Give a wineglassful several times daily. 



DIAPHORETICS. 87 

Given in scrofula complicated with syphilis, and in various 
skin diseases. 

178. Compound Decoction of Sarsaparilla. 

R. Sarsaparillse contritae §iij; 

Mezerei concisi 3ij 5 

Aquae Oiij. 
Coque ad colaturae Oij. 
Sub finem coctionis, adde — 

Extracti Glycyrrhizae 3ss. 
Signa. — A teacupful four times daily. 

This preparation or its equivalent, the "Decoctum Sarsa- 
parillae Compositum" of the Pharmacopoeia, has long been 
celebrated in the secondary forms of syphilis, and the diseases 
produced by the improper exhibition of mercury. It is also 
much employed in rheumatism and chronic skin diseases. 

SWEDIAUR. 



Mixtures. 

179. Mixture of Muriate of Baryta and Iron. 

R. Barii Chloridi 3ss; 

Aquae Menthae Piperitae f^ijss; 

Tincturae Ferri Chloridi f^ss; 

Syrupi Aurantii Corticis flj. 
Fiat mistura. 
Signa. — Take a teaspoonful every three hours. 

Used in obstinate scrofulous diseases. Each dose contains 
about one grain of the chloride of barium, and seventeen 
drops of the muriated tincture of iron. This corresponds in 
strength with a prescription by Fischer. 

180. Mixture of Buchu and Iodide of Potassium. 

R. Infusi Buchu f^viij; 

Liquoris Potassae f 3 j ; 

Pota'ssii Iodidi Jss ; 

Spiritus iEtheris Mtrosi f 3iij. 
Fiat mistura. 
Signa. — Take two tablespoonfuls three times a day. 

Used in chronic and syphilitic rheumatism. S. Weight. 



«8 DIAPHORETICS. 

181. Sarsaparilla Beer. 

R. Sarsaparillse contusae ft>ij ; 

Pulveris Guaiaci Corticis iviij ; 
Gruaiaci Ligni concisi, 
Anisi, 

Kadicis Glycyrrkizee contusae, aa oiv; 

Mezerei 3j ; 

Syrupi fusci Oij ; 

Caryophylli contusi iss ; 

Aquae bullientis, Congios iv. 
Mix these ingredients, and agitate the vessel thrice a day. 
"When a fermentation has "well begun it is fit for use, and 
may be taken in the dose of a small tumblerful twice or 
thrice a day. 

" This is the Spanish recipe for the Jarave, or diet drink, 
somewhat modified. If intended for old and obstinate com- 
plaints, as leprous affections, elephantiasis, various anomalous 
ulcerations and foul disorders of the skin, there ijaay be added 
to the jug, after fermentation has well begun, tartrate of anti- 
mony twelve grains, corrosive sublimate eight or ten grains, 
muriate of ammonia one drachm, dissolved previously in a 
little water. These remedies greatly increase the alterative 
powers of the vegetable, infusion, and so effectually prevent 
its decomposition that it may be kept for a long time unal- 
tered, even in a hot climate.'''' — See Hancock on Sarsaparilla. 
Journal of the Philadelphia College of Pharmacy, vol. i. No. 4. 



CLASS YII 



EXPEOTOEA5TS. 

Duking the administration of Expectorants the patient 
should be kept warm, and, if the complaint be violent, in bed. 
The dose of all the Expectorants should be repeated sufficiently 
often to allay the irritation as much as possible; for it is obvi- 
ous that the act of coughing increases that very irritation which 
originally gave rise to it. 



Powders, Pills, and Lozenges. 

182. Povjders of Myrrh, Ipecacuanha, etc. 

R. Pulveris Myrrhse gr. xij ; 

Pulveris Ipecacuanhas gr. yj ; 

Potassse Nitratis 3ss. 
Misce, et divide in partes iv. 
Signa. — One to be taken every fourth hour. 

A stimulating expectorant used in chronic bronchitis, and 
the catarrh of elderly persons. — Paeis's Pharmacologia. 

183. Powders of Nitrate of Potassa, Calomel, Opium, etc. 

R. Potass93 Mtratis gr. xxx ; 

Hydrargyri Chloridi Mitis, 

Pulveris Opii, 

Pulveris Ipecacuanhse, aa gr. iij. 
Misce, et divide in chartulas vj. 
Signa. — One every three hours in syrup or molasses. 

All powders containing calomel, or other metallic prepa- 
rations, should be given in syrup, as they sink when water is 
employed as the vehicle. 

Used in acute bronchitis. 



90 EXPECTORANTS. 

184. Pills of Sulphate of Zinc and Myrrh. 

R. Zinci Sulphatis gr. x; 
Pulveris Myrrhas 3jss; 
Confectionis Kosas q. s. ut fiant pilulae xx. 

This prescription is taken from the Pharmacologia of Dr. 
Paris, who recommends two of the pills to be taken twice a 
day. 

It is principally used in pertussis ; but a more efficient direc- 
tion would be to reduce the myrrh to a drachm, on account of 
the size of the pills, and to give a pill every two hours. Dr. 
Paris remarks, that the principal nostrums for hooping-cough 
are formed either of opium or sulphate of zinc, or a combina- 
tion of the two. 

185. Pills of Hemlock and Dover's Powder. 

R. Extracti Conii, 

Pulveris Ipecacuanha Compositi, aa gr. x. 
Misce, et fiant pilulse v. 
Signa. — Two may be taken at bedtime. 

In pulmonary irritation, attended with rheumatic and other 
local pains. 

186. Pills of Tartar Emetic and Opium. 

R. Antimonii et Potassse Tartratis, 

Pulveris Opii, aa gr. jss ; 

Pulveris Tragacanthse gr. x ; 

Confectionis Eosse q. s. ut fiant pilulse xxv. 
Signa. — Two to be taken night and morning. 

In chronic pulmonary catarrh. Dr. Pariset. 

[187. Pills of Antimony, Dover's Powder, and Calomel] 

R. Hydrargyri Chloridi Mitis gr. iij ; 

Pulveris Antimonialis, Tyson (formula 148) gr. xij ; 

Pulveris Ipecacuanhas Compositi gr. xxiv ; 

Syrupi q. s. 
Misce, et divide in pilulas xij. 
Signa. — Give one pill every two hours. 

A very efficient expectorant and anodyne in the early stages 
of pneumonia, pleurisy, or acute bronchitis. 



EXPECTOKANTS. 91 

188. Pills of Squill, Ammoniac, and Hemlock. 

R.' Pulveris Scillse, 

Extracti Conii, aa 3ss ; 

Ammoniaci 5j- 
Fiat massa, et divide in pilulas xxx. 
Signa. — One pill every four hours. 

Like the officinal " Pilulee Scillse Composita3," this is an 
efficient expectorant combination, which may be prescribed 
with great benefit in chronic bronchitis, catarrh, and asthma. 

189. Pills of Calomel, Squill, Ammoniac, etc. 

R. Hydrargyri Chloridi Mitis gr. iij ; 

Scillse recentis, 

Ammoniaci, aa 9j ; 

Pulveris Ipecacuanhas Compositi 5ss ; 

Confectionis Kosae q. s. ut flat massa, in pilulas xxx divi- 
denda. 
Signa. — One four times a day. 

This formula is recommended by the celebrated Dr. Latham, 
of London, for the relief of troublesome cough. In this 
country it will generally be necessary to substitute dried squill 
in half of the quantity, owing to the difficulty of obtaining 
the fresh article. 

190. Pills of Calomel, Squill, Tartar Emetic, etc. 

R. Hydrargyri Chloridi Mitis gr. xxiv ; 

Pulveris Scillge 3ss ; 

Antimonii et Potassse Tartratis gr. vj ; 

Pulveris Opii gr. xviij ; 

Syrupi q. s. 
Fiant pilulse xxiv. 
Signa. — One every night. 

In chronic catarrhal affections. 

191. Pills of Tar and Gentian. 

R. Picis liquidae 3j ; 

Pulveris Glentianae q. s. ut fiat massa. 
Fiant pilulas xxx. 
Signa. — Take a pill morning, noon, and night. 

Tar is a mild, stimulant expectorant ; and is often employed, 
in different forms, in chronic bronchial affections and consump- 
tion. 



92 EXPECTORANTS. 

192. Pills of Myrrh, Squill, and Henbane. 

R. Myrrhae 3j ; 

Pulveris Scillae, 

Extracti Hyoscyami, aa 3ss ; 

Aquae destillataa q. s. ut fiat massa in pilulas xxx divi- 
denda. 
Signa. — Two to be taken night and morning. 

These pills are recommended by Dr. Paris in phthisis and 
catarrh attended with great debility of the pulmonary organs. 

193. Wistarh Cough Lozenges. 

R. Pulveris Acacias, 

Extracti Grlycyrrhizas, 

Sacchari, aa 3ij ; 

Pulveris Opii gr. vj ; 

Olei Anisi gtt. iv. 
Misce et aclcle — ■ 

Aquae destillatae q. s. ut fiant trochisci lx. 
Signa. — One of these may be dissolved in the mouth three or 
four times a day. 

These lozenges, which were originally prescribed by the 
late Prof. 0. Wistar, have long been highly esteemed for their 
demulcent and anodyne properties, and have been much em- 
ployed both in general and domestic practice for the relief of 
cough. Mr. Edward Parrish recommends the substitution of 
sulphate of morphia, in equivalent quantity, for the opium. 
He also directs the lozenges when dry to be varnished with 
tincture of Tolu. These changes improve their flavor without 
impairing their efficiency. 

194. Spittcfs Lozenges. 

R. Pulveris Cubebae 3ij ; 
Balsami Peruviani gr. vj ; 
Syrupi Tolutani f *j ; 
Extracti Glycyrrhizae 5J ; 

Acaciae q. s. ut fiat massa, in trochiscos singulos grana x 
pendentes, dividenda. 

These lozenges are celebrated for the relief they afford in 
hoarseness and coughs. Spitta. 



EXPECTORANTS. 93 

195. Jackson } s Pectoral Lozenges. 

R. Pulveris Ipecacuanhas gr. x; 

Antimonii Sulphurati gr. v; 

Morphias Muriatis gr. vj ; 

Pulveris Acacias, 

Sacchari, 

Pulveris Extracti Glycyrrhizas, aa 5xj ; 

Olei Sassafras gtt. iv ; 

Tinctures Tolutanas f3iv; 

Syrupi q. s. 
Fiat massa, in trochiscos cc dividenda. 

Each lozenge, weighing ten grains, contains of ipecacuanha 
gr. ^o ; of the precipitated sulphuret gr. ^ ; and of the 
muriate of morphia gr. ^. 

Signa. — One of these to be dissolved in the mouth, when the 
cough is troublesome. S. Jackson". 

Syrups. 

As cough medicines have to be repeated at short intervals 
for the purpose of maintaining a gentle impression upon the 
pulmonary organs, it is desirable to administer them in the 
most agreeable form. Hence they are generally prescribed 
as syrups, the sugar in which serves the double purpose of 
covering the taste and acting as a demulcent to the mucous 
membrane. 

The officinal syrups of garlic, squill, and seneka are given 
in a dose of a teaspoonful each. They are all slightly stimu- 
lant, and in large doses nauseant. 

The syrup of wild cherry bark is tonic, astringent, and 
sedative. Its dose is a tablespoonful. 

The syrups of gum Arabic, of almonds (orgeat), and of 
Tolu, are used chiefly as demulcents and flavoring agents. 

The compound syrup of squill (Coxe's hive syrup) exhibits 
the anomalous association of a sedative (tartar emetic) with 
two valuable stimulant expectorants — squill and seneka. It 
is more often employed as an emetic for croup, than as an 
ordinary expectorant. 

196. Syrup of Squill, Seneka, and Ipecacuanha. 

R. Syrupi Scillse, 

Syrupi Senegas, 

Syrupi Ipecacuanhas, aa f§j. 
Misce. 
Signa. — A teaspoonful every three hours. 



94 EXPECTORANTS. 

This is a favorite combination with many physicians, as it 
combines the expectorant qualities of the squill and seneka, 
with the relaxing effect of the ipecacuanha. Morton. 

197. Syrup of Squill and Ipecacuanha, with Paregoric. 

R. Syrupi Scillas, 

Syrupi Ipecacuanhas, 

Tincturse Opii . Camphor atae, aa f^j. 
Misce. 
Signa. — A teaspoonful every three hours. 

This preparation is more relaxing and soothing than the 
last, and may be given beneficially when the patient has a 
troublesome cough, with deficient expectoration. 

198. Syrup of Ipecacuanha, American Hellebore, etc. 

R. Syrupi Ipecacuanhas, 

Spiritus ^Etheris Nitrosi, aa f 3ss ; 

Tincturse Yeratri Viridis n^xv. 
Misce. 
Signa. — Fifteen drops every three hours. 

This formula was employed in a large number of cases of 
pneumonic and bronchial diseases in children, and found to 
be a most efficient sedative and expectorant. The above dose 
may be given to a child one or two years old. The pulse 
must always be watched during the administration of Ameri- 
can hellebore. B. F. Schneck. 

199. Syrup of Assafetida. 

R. Assafoetidas Ij; 
Aqua bullientis Oj ; 
Sacchari Bbij. 
Triturate the assafetida in a mortar with a portion of the boil- 
ing water, until a uniform paste is formed; then gradually 
add the remainder of the water, strain, and add the sugar, 
applying a gentle heat to dissolve it. 

Dose, a teaspoonful every three hours, for a child five years 
old. 

Each fluidounce contains fifteen grains of assafetida. This 
preparation will keep a month in the hottest weather. Its 
taste is less nauseous than the milk of assafetida, and, alto- 
gether, it is one of the very best modes of administering the 
fetid drug to children, in hooping- con gh, I am acquainted 
with. E. Peltz. 



EXPECTOKANTS. 95 

200. Another Form. 

B. Assafcetidas oSs ; 

Magnesias Carbonatis 3yj. 
Tere simnl et adde gradatim — 

Aquas bullientis f 3x. 
Cola et adde — 

Saccbari ^xv. 
Solve cum leni calore. 
Signa. — Dose, a teaspoonful. 

As tbis preparation should measure a pint, each fluidounce 
will contain fifteen grains of the fetid drug. 

J. A. Heintzelman. 

201. Syrup of Wild Cherry Bark and Prussia Acid. 

B. Syrupi Pruni Virginianas f siij ; 

Syrupi Tolutani f sj ; 

Acidi Hydrocyanici diluti "Ixvj. 
Misce. 
Signa. — Dose, a dessert-spoonful every three hours. 

When well prepared, this syrup represents the tonic and 
sedative properties of the wild cherry, which render this bark 
so peculiarly applicable to the treatment of phthisis. The 
addition of the prussic acid renders the preparation more 
sedative. E. P. Thomas. 

202. Syrup of Garlic and Tolu with Paregoric. 
B. Syrupi Allii, 

Syrupi Tolutani, aa f Jj ; 
Tinctures Opii Camphoratae f3ij. 
Misce. 

Signa. — Dose, half a teaspoonful every three hours for a child 
five years old. 

In general properties, garlic bears a close resemblance to 
squill. This combination may be given with great advantage 
in the advanced stages of catarrhal complaints of children. 

203. Jackson } s Pectoral Syrup. 
B. Sassafras Medullas 3j ; 

Acacias 3j ; 

Aquas Oj. 
Macera per boras duodecim, dein adde — 

Sacchari ^xxj. 
Et solve sine calore, cola, et adde — 

Morpbias Muriatis gr. viij. 
Signa. — Take a teaspoonful every three hours, 



96 EXPECTOKANTS. 

It is intended that this preparation, when completed, shall 
measure two pints, and if it does not, the operator is to add 
the complement of water, so that each fluidounce shall con- 
tain one-fourth of a grain of the muriate of morphia. It is 
much employed in Philadelphia. Samuel Jackson. 

204. Another Form. 

R. Syrupi Acacia? fliv; 

Morphias Muriatis gr. j ; 

Olei Sassafras gtt. j. 
Misce. 
Signa. — Dose, a teaspoonful every three hours. 

This is a convenient form for the extemporaneous prepara- 
tion of Jackson's Pectoral Syrup. 

205. Substitute for Aubergier 1 s Syrup. 

R. Syrupi Lactucarii f^ij; 

Syrupi Acacias f 3jss ; 

Syrupi Aurantii Florum f^ss. 
Misce. 
Signa. — A teaspoonful every three hours. 

This is a mild anodyne syrup, and is useful in bronchitis, 
catarrhus senilis, and consumption. 

Mixtures. 

206. Mixture of Syrup of Squill, etc. 

R. Syrupi Scillas f .3 ss ; 

Tincturas Opii Camphoratas f 3ij ; 

Yini Antimonii f 3j ; 

Aquas destillatas fliij. 
Misce. 
Signa. — A teaspoonful every three hours. 

This is more particularly designed for children. 

207. Mixture of Squill, Morphia, and Prussic Acid, 

R. Morphias Muriatis gr. j ; 

Acidi Muriatici diluti "iv ; 

Acidi Hydrocyanici diluti tt^xxx; 

Syrupi Scillas, 

Aquas, aa f 3J. 
Misce. 
Signa. — Dose, a teaspoonful when the cough is troublesome. 

Used in phthisis. T. Thompson. 



EXPECTORANTS. 97 

208. Mixture of Seneka, Squill, Tartar Emetic, etc. 

R. Decocti Senegse f liv ; 

Syrupi Ipecacuanhas f §j ; 

Syrupi Scillas f ^ss ; 

Antimonii et Potassae Tartratis gr. j. 
Fiat mistura. 

Signa. — A teaspoonful for children of two years of age and 
upwards. 

In croup. 

209. Mixture of Seneka, Ammoniac, and Tolu. 

R. Decocti Senegae f^vj ; 

Syrupi Tolutani f£j ; 

Ammoniaci 5ss. 
Misce secundum artem. 
Signa. — A tablespoonful every two hours. 

In catarrh. 

210. Mixture of Ammoniac and Squill 

R. Ammoniaci, 

Extracti Grlycyrrhizaa, aa 3ss ; 

Aceti Scillae fsss ; 

Aquas Fceniculi f^vss. 
Fiat mistura. 
Signa. — A tablespoonful every two hours. 

This is a stimulant preparation, useful in chronic bronchitis 
and senile catarrh. 

211. Mixture of Hemlock, Paregoric, and Tolu. 

R. Extracti Conii Fluidi fjij ; 

Tincturae Opii Camphoratse, 

Syrupi Tolutani, aa f oSs ; 

Aquas Kosas f siv. 
Misce. 

Signa. — Thirty drops may be given once in four hours to a 
child a year old, watching the effect. 

Dr. Pearson, in his work on pertussis, recommends the above 
as a valuable formula. 



y» EXPECTORANTS. 

212. Almond Emulsion, Ipecacuanha, etc. 

B. Misturae Amygdalas f^v ; 

Yini Ipecacuanhas, 

Tincturas Scillae, aa f 5ij ; 

Syrupi Tolutani f 3ss. 
Misce. 
Signa. — Take a tablespoonful whenever the cough is urgent. 

Used in chronic bronchitis and consumption. 

213. Mixture of Sal Ammoniac, Squill, etc. 

B. Ammonias Muriatis sss; 

Pulveris Acacias 3ij ; 

Pulveris Extracti Grlycyrrhizas 5iij; 

Aquas f^vjss ; 

Spiritus JStheris Nitrosi f 3jss ; 

Aceti Scillae fS.iij. 
Fiat mistura. 
Signa. — A dessert-spoonful every two hours. 

A stimulating expectorant and alterative, useful in the ad- 
vanced stages of bronchial disease. Goeden. 

214. Mixture of Naphthaline. 

R. Naphthalinae gr. xvj. 

Alcoholis q. s. ut fiat solutio. 
Dein adde — 

Syrupi f £iv. 
Misce. 
Signa. — Take a tablespoonful every two hours. 

This is a stimulating expectorant, useful in chronic catarrh, 
humoral asthma, etc. Dupasquier. 

215. Mixture of Oil of Amber and Tolu. 

R. Olei Succini rectificati f3j ; 

Pulveris Acacias, 

Sacchari, aa ^ss; 

Aquas destillatas f 3iv ; 

Tincturae Tolutanas f 5ij. 
Fiat mistura secundum artem. 
Signa. — A tablespoonful every two or three hours. 

In spasmodic cough. 



EXPECTORANTS. 99 

216. Mixture of Bloodroot, Wild Cherry Bark, etc. 

R. Morphias Acetatis gr. iij ; 

Tincture Sanguinarias f 3ij ; 

Vini Antimonii, 

Yini Ipecacuanhas, aa f3iij ; 

Syrupi Pruni Virginianas f oiij. 
Misce. 
Signa. — Dose, a teaspoonful. 

Used in catarrhal affections, bronchitis, and influenza. 

J. C. Ayer. 

217. Mixture of Wild Cherry , Morphia, etc. 

R. Morphias Acetatis gr. ij ; 

Acidi Acetici diluti f 5j ; 

Syrupi Pruni Yirginianae, 

Syrupi Ipecacuanhas, 

Syrupi Tolutani, aa f Jj. 
Misce. 
Signa. — A teaspoonful every three hours. 

This is an excellent combination for the treatment of catar- 
rhal affections and chronic bronchitis. 

218. Mixture of Tartar Emetic and Laudanum. 

R. Antimonii et Potassas Tartratis gr. j ; 

Aquas destillatas f 3iij ; 

Tincturas Opii ntxx. 
Misce. 
Signa. — Give a teaspoonful at bedtime to a child five years old. 

Prescribed in hooping-cough. Sir ¥i. Watson. 

219. Mixture with Bicarbonate of Soda, etc. 

R. Sodas Bicarbonatis gr. xij ; 

Yini Ipecacuanhas n\.xx ; 

Tincturas Opii ^iv; 

Syrupi, 

Aquas destillatas, aa f Ss§. 
Misce. 
Signa. — Give a teaspoonful every three hours. 

This preparation is designed for children, and is chiefly 
used in hooping-cough. 



100 EXPECTORANTS. 

[220. Mixture of Bromide of Ammonium. ~\ 

B. Ammonii Bromidi 9ij ; 
Syrupi Aurantii f Sjss. 
Misce. 
Signa. — Give a teaspoonful every four hours. 

In hooping-cough, for a child. 

221. Cochinea I Mixture. 

R. Potassae Carbonatis 3j ; 

Pulveris Cocci 9ss ; 

Sacchari 3j ; 

Aquae destillatae f^iv. 
Fiat solutio. 

Signa. — Dose for children, a teaspoonful every two or three 
hours. 

An effectual remedy in hooping-cough. N. Chapman. 

222. Mixture of Lobelia, Squill, and Belladonna. 

B. Tincturae Lobeliae, 

Syrupi Scillae, aa f ,lj ; 

Extracti Belladonnae gr. iv. 
Misce. 
Signa. — Dose, thirty drops four times daily. 

This combination has afforded great relief in hooping-cough, 
especially during the second stage. The dose specified is for 
a child five or six jes^rs old. W. Herbst. 

223. Mixture of Assnfeiida, etc. 

R . Assafoetidae 3j ; 

Aquae foiv. 
Fiat mistura, et adde— 

Tincturae Tolutanae f Iss ; 

Tincturae Opii n^xl. 
Signa. — A teaspoonful to a child every two hours, and a 
dessert-spoonful (or more) as frequently to an adult. 

This preparation is of great value in pertussis and other 
spasmodic diseases of the chest, S. G. Morton. 



EXPECTORANTS. 101 

224. Mixture of Bloodroot, Naphtha, etc. 

R. Tincturae Sanguinarias f ,*j ; 

Tincturae Opii Camphoratas f 5ij ; 

Spiritus Pyroxilici, Dub. f 3ss ; 

Potassas Nitratis 3ss ; 

Aquas foj. 
Misce. 
Signa. — A teaspoonful every two hours. 

This is a modification of a formula of Dr. E. H. Sholl, who 
speaks in the most favorable terms of the value of bloodroot 
in pneumonia, croup, hooping-cough, etc. It is one of the 
most powerful medicinal agents. It is violently emetic in 
large doses, but in the quantity recommended is said to pro- 
duce diaphoresis and effects analogous to those of digitalis. 

225. Mixture of Wood Naphtha and Morphia. 

R. Spiritus Pyroxilici, Dub. f3ij ; 

Liquoris Morphias Muriatis, Ed. f 3iij ; 

Aquas destillatae f 3v, f3iij- 
Fiat mistura. 
Signa. — Dose, a tablespoonful three times daily. 

Prescribed in bronchitis with profuse expectoration, and in 
phthisis. Laycock. 

226. Mixture of Ammoniac, Squill, and Paregoric. 

R. Ammoniaci 3j ; 

Aquas destillatas f liv. 
Fiat mistura, et adde — 

Syrupi Scillas f ,?ij ; 

Tincturae Opii Camphoratas f 3ss. 
Misce. 
Signa. — A tablespoonful may be given every two hours. 

A stimulating expectorant, useful in chronic bronchitis, 
senile catarrh, etc. 

227. Mixture of Assafetida and Acetate of Ammonia. 

R. Assafoetidas 3ss ; 

Liquoris Ammonias Acetatis, 
Aquas Menthas Viridis, aa f sij. 
Fiat mistura. 

Signa. — A teaspoonful to children, and a tablespoonful to 
adults, in coughs. 



102 EXPECTORANTS. 

This simple solution of assafetida was frequently employed 
by the elder physicians, and was found to answer every pur- 
pose of more complicated prescriptions. 

228. Mixture of Copaiba and Balsam of Tolu. 

R. Copaibas, 

Balsami Tolutani, 

Pulveris Acaciae, aa Iss; 

Aquae destillatae f.lvj; 

Acidi Sulphurici Aromatici n^xx. 
Fiat mistura secundum artem. 
Signa. — Dose, a tablespoonful. 

In chronic catarrh and hooping-cough. When there is 
hectic excitement, digitalis may be added. 

229. Mixture of Balsam of Peru. 

R. Balsami Peruviani ^ss ; 

Pulveris Acaciae, 

Sacchari, aa 3ij ; 

Aquae Cinnamomi, 

Aquae destillatae, aa f^iij. 
Misce. 
Signa. — A tablespoonful four times a day. 

The different balsams were at one time almost proscribed 
from the class of expectorants, on account of their stimulating 
qualities ; but they are now much employed in diseases of the 
pulmonary mucous membrane. 

230. Tar Water. 
R. Picis liquidae Oij ; 

Aquae Cong. j. 
Mix and stir them together with a wooden rod for an hour ; 
then let the tar subside, strain the water, and keep it in well- 
corked bottles. — A pint, or even two pints, may be taken 
daily in divided doses ; but in cases of bronchial irritation, 
the dose must be greatly diminished. 

231. Mixture of Oil of Tar. 
R. Olei Picis liquidae f3ij ; 

Magnesiae Carbonatis 9ij. 
Tere simul, et adde gradatim — 

• Aquae f^xiv. 
Cola et adde — 
Syrupi f ^ij. 
Misce. 
Signa. — A wineglassful to be taken four times daily. 



EXPECTORANTS. 103 

This is probably the most effectual of the tar preparations, 
and may be resorted to beneficially in cases of senile catarrh, 
chronic bronchitis, and consumption. B. J. Ceew. 

232. Mixture of Gum Ammoniac and Nitric Acid. 

R. Ammoniaci Dijss ; 

Acidi Nitrici diluti f 3ij ; 

Aquae foviij. 
Misce. 
Signa. — A tablespoonful to be taken four times a day. 

This preparation is strongly recommended •in protracted 
catarrh and phthisis pulmonalis, by Dr. J. Stuart, author of a 
treatise on Colds. 

233. Spermaceti Mixture. 
R. Cetacei 5ij ; 

Sacchari 3iij ; 

Yitellum unius ovi. 
Tere sirnul, et adde gradatim — 

Tincturse Opii Camphoratae f.Iss; 

Aquae foviij. 
Misce. 
Signa. — A tablespoonful for a dose, four or five times a day. 

Used in catarrh. 

234. Syrup of Tolu with Belladonna, etc. 

R. Tincturae Belladonnas, 

Vini Ipecacuanhas, aa f 3ij ; 

Syrupi Senegas f 3ss ; 

Syrupi Tolutani f^iij. 
Misce. 

Signa. — Take a teaspoonful three or four times a day, freely 
using gum- water acidulated with lemon-juice. 

In coughs. 

235. Flaxseed Tea. 

R. Lini §j ; 

Kadicis Grlycyrrhizas contusas ^ss ; 

Aquas bullientis Oj. 
Macera per horas duas in vase leviter clauso, cola et adde — 

Succi Limonis f 3j. 
Misce. 

This may be given as a common drink in catarrh. 



104 EXPECTORANTS. 

236. Decoction of Iceland Moss. 

B. Cetrarias lj ; 
Aquas Ojss. 
Coque ad Oj, et cola. 

This article once acquired great celebrity in coughs ; but 
was overrated, and lost its reputation. It contains a bitter 
principle, which is sometimes an advantage in dyspepsia and 
phthisis. If freed from this, by macerating before boiling, 
and throwing the first liquor away, as is sometimes done, the 
preparation is v reduced to a mere demulcent, and has no ad- 
vantages over other members of that class. 

237. Mixture of Prussic Acid. 

R. Acacia *ss; 

Aquas f^vijss. 
Fiat mistura, et adde — 

Syrupi Tolutani f Iss ; 

Acidi Hydrocyanici diluti, gtt. xij. 
Fiat mistura. 
Signa. — Take a tablespoonful every three hours. 

Used to allay cough in consumption. 

This is "a medium dose," which I prefer in commencing 
the use of so powerful a medicine. — S. Gr. Morton, Illustra- 
tions of Pulmonary Consumption, p. 132. 

We cannot enjoin too much caution in the use of all the 
preparations of prussic acid, some of which are extremely 
variable in themselves, and all produce very unequal effects 
on different constitutions. It is questionable whether the 
practice of medicine has gained anything by their adoption 
into the Materia Medica. 

238. Mixture of Cyanide of Potassium. 

R. Potassii Oyanidi gr. j ; 

Aquas destillatas fgiijss; 

Syrupi Limonis f 3ss. 
Misce. 
Signa. — Dose, a tablespoonful every two hours. 

In this formula by Mr. Donavan, of Dublin, the lemon 
syrup is added for the purpose of securing the formation of 
hydrocyanic acid, by its chemical action on the cyanide. Em- 
ployed to check vomiting, and allay cough ; and, in much 
smaller doses, in the hooping-cough of children. 



EXPECTORANTS. 105 

339. Mixture of Lobelia and Prussic Acid. 

R. Tincturas Lobelias f3ss ; 

Acidi Hydrocyanici diluti gtt. j. 
Misce. 
Signa. — To be taken at a dose, three or four times a day. 

Highly serviceable in asthma and (in very small doses) in 
hooping-cough. Livezey. 

240. Mixture of Gum Ammoniac, Castor, etc. 

R. Misturas Ammoniaci f aiij ; 

Tincturas Castorei f 5ss ; 

Syrupi Tolutani f^ss ; 

Tincturas Opii «lxxx ; 

Aquae Cinnamomi f3j. 
Fiat mistura. 

Signa. — A small tablespoonful every four hours, in trouble- 
some cough. C. D. Meigs. 

[241. Mixture of Morphia, Turpentine, etc.'] 

R. Morphias Acetatis gr. j ; 

Olei Terebinthinas gtt. cxx ; 

Spiritus iEtheris Nitrosi f oSs ; 

Acacias pulveris Sss ; 

Syrupi Pruni Virgin ianss f Ij ; 

Liquoris Ammonias Acetatis f siv. 
Misce secundum artem. 
Signa. — Give a tablespoonful every two hours. 

An effectual stimulating expectorant in pneumonia. 

242. Mixture of Morphia, Squill, and Tolu. 

R. Syrupi Scillas f ,5 jss; 

Syrupi Tolutani f^ss; 

Morphias Acetatis gr. j. 
Misce. 
Signa. — A teaspoonful may be taken every three hours. 

In phthisis and other diseases attended with cough. 

243. Mixture of Tolu, Morphia, and Tartar Emetic. 

R. Mucilaginis Acacias Oj ; 

Syrupi Tolutani, fsij ; 

Morphias Sulphatis, gr. ij ; 

Antimonii et Potassas Tartratis, gr. ij. 
Misce. 
Signa. — A tablespoonful to be given every two hours. 

S. G. Morton on Consumption, p. 123. 



106 EXPECTORANTS. 

244. Glycerine with Morphia and Iodide of Iron. 

B. Morphias Sulphatis gr. iij ; 

Syrupi Ferri Iodidi f 5ss ; 

Glycerinas f^iijss. 
Misce. 
Signa. — A teaspoonful every four hours. 

This is particularly serviceable in the advanced stages of 
consumption, to arrest the emaciation, and allay the cough. 

N. S. Davis. 

245. Syrup of the Hypophosphites of Lime, Soda, etc. 

R. Calcis Hypophosphitis 5vj ; 

Sodas Hypophosphitis, 

Potassas Hypophosphitis, aa 3ij ; 

Aquas ferventis fS'x. 
Solve, cola et adde — 

Sacchari ^xiv. 
Solve leni calore, cola et adde — 

Aquas Aurantii Florum f.5ss. 
Misce. 
Signa. — Dose, a teaspoonful every three hours. 

Dr. Churchill has directed the attention of the profession 
to the value of the hypophosphites in the treatment of con- 
sumption. A glycerole could be readily formed by substi- 
tuting glycerine for a portion of the water and sugar in this 
formula. Each dose contains about five grains of the mixed 
salts. E. Parrish. 

246. Infusion of Tar and Hops. 

B. Infusi Picis liquidas Oij ; 

Humuli 3ss. 
Misce, macera per horas duas, et cola. 
Signa. — Dose, a wineglassful morning, noon, and night. 

This is a useful tonic and expectorant in consumption. 



Inhalation. 

Inhalation is a means of applying remedies directly to the 
lungs. A good instrument for this purpose is the inhaler of 
Mudge; but as a substitute the common teapot may be used, 
or a funnel inverted over a bowl. The substances usually 



EXPECTORANTS, 



107 




selected for inhalation are, the 
steam of warm water ; the steam 
of vinegar, produced by pouring 
it into boiling water ; and various 
other articles next to be enume- 
rated. 

An excellent inhaler may be 
made by taking an ordinary wide- 
mouthed bottle, such as contains 
sulphate of quinia, for example — ■ 
fitting a cork accurately; then 
boring two holes about three- 
eighths of an inch in diameter, 
and inserting into each a tube of 
glass, of which one passes to the 
bottom of the liquid, rising only 
a little above the cork, the other simply passing through the 
cork without reaching the liquid, but upon the outside, bent 
into a long mouthpiece. When the medicated solution re- 
quires to be warmed to obtain the benefit of volatilization 
of its ingredients, the bottle may be set into a vessel of hot 
water. 

247. Inhalation of Balsam of Tolu. 
R. Balsami Tolutani Ej ; 

Aquae bullientis Oj. 
Misce. 
Signa. — Inhale the vapor through an inverted funnel. 

248. Inhalation of Tolu and Ether. 
B. Balsami Tolutani, partem j; 

JEtheris, partes iij. 

Solve. 

Signa, — The solution should be placed in a wide-mouthed 
bottle, from which the patient is to inhale freely several 
times a day, in chronic catarrh, aphonia, and chronic affec- 
tions of the chest. Koziere. 

249. Ethereal Tincture of Iodine and Hemlock for Inhalation. 
R. Iodinii gr. viij ; 

Pulveris Conii gr. xvj ; 
^Etheris fgij. 
Misce, et macera per horas viginti quatuor. 
Signa. — Half a teaspoonful at a time is to be breathed from a 
wineglass grasped in the warm hand, and repeated twice 
or thrice a day. If it does not affect the head, the quan- 
tity inhaled may be gradually increased to a teaspoonful. 



108 EXPECTOBAXTS. 

Used Id chronic bronchitis and consumption. 

S. G. Mobtox. 

250. Scuda.more s Iodine Mixture for Inhalation. 

B. Iodinii, 

Potassii Iodidi, aa gr. vj ; 

Aquae destillatae f3v, f5yj ; 

Alcohoiis f 5J. 
Misce. 

I usually commence with a drachm of this mixture, pro- 
ceeding gradually to the extent of half an ounce (rarely 
more), putting two-thirds the dose for the first half of the 
time (10, 15, or 20 minutes), and the other third for the re- 
mainder, always adding thirty minims of a saturated tincture 
of couium, with an increase, if the cough be very irritable. 
Occasionally, I add some saturated tincture of ipecacuanha ; 
and when the respiration is spasmodically affected, some ethe- 
real tincture of lobelia inflata. Sib C. Scuda^ioee. 

251. Mixture of LugoVs Solution and Hops for Inhalation. 

B. Liquoris Iodinii Compositi f 3ij ; 
Tincturae Humuli f si v. 

Misce. 

Signa. — A tablespoonful is added to two fluidounces of hot 
water in an inhaler, or in a cup covered with an inverted 
funnel. The amount of inhalation will have to be deter- 
mined in each case by the sensations produced. In some 
instances s:reat relief is afforded, but in others a sense of 
suffocation may occur, if the inhalation be prolonged. 

252. Inhalation of Tar. 

B. Picis liquidaa Ixvj ; 

Liquoris Potassae f^j. 
Misce. 

"The two ingredients being well mixed, should be first 
boiled for a few minutes in the open air, in order to disengage 
any impurities, and then be kept at a simmer in the room of 
the patient. This is effected by putting the mixture in an 
iron vessel, and placing the latter over a spirit-lamp, or some 
analogous contrivance. In this way, not only a chamber, but 
an entire house, is speedily pervaded by a most agreeable 
vapor, which, although it may at first excite some disposition 
to cough, both in healthy and sick persons, very soon, in a 



EXPECTORANTS. 109 

majority of cases, allays this symptom, and with it a great 
proportion of the patient's distress." — Morton on Consumption. 

Sir A. Crichton. 

253. Rosin Inhalation. 

The fumes of rosin were much employed by the late Dr. 
Joseph Parrish, of this city ; he directed it to be put on a 
hot shovel or coals, and allow the patient gradually to inhale 
them. To some persons, rosin is very agreeable, while the 
lungs of others cannot tolerate it. 

254. Arsenical Inhalation. 

B. Sodas Arseniatis 3ss ; 
Aquas destillatae f ov. 
Solve. 
Signa. — Arsenical solution. 

Thirty slips of bibulous paper of a determinate size (about 
six inches by four inches), are dipped into the arsenical solu- 
tion, and are then dried and rolled into the form of cigars. 
Thus prepared, each cigar represents a known weight of the 
arseniate, about one grain. 

" The patient, having lighted a cigar, draws the smoke into 
his mouth, and, by a gentle inspiration, permits it to enter the 
lungs. At first, he may take four or five inspirations, thrice 
daily ; and, as he becomes accustomed to the impression, he 
increases their number. 

"If there be much oppression, stramonium leaves may be 
rolled up with the arsenicated papers." 

This inhalation has been of some service in consumption, 
but it is in old catarrhs, chronic bronchitis, and laryngeal 
disease, that its effects are the most striking. 

Trousseau. 

255. Mercurial Inhalation. 
B. Hydrargyri Oxidi rubri 9j. 

Heat gradually on the point of a spatula, over a spirit-lamp, 
and conduct the fumes to the mouth or nostrils by means of 
an inverted glass funnel. 

Used in ozsena and syphilitic affections of the mouth or 
throat, as well as in chronic diseases of the air-passages. 



110 EXPECTORANTS. 

256. Stramonium Inhalation. ' 

Stramonium inhalation is particularly serviceable in asthma. 
The leaves, deprived of their midribs, are dried, cut, and 
smoked in a common tobacco pipe. Persons unaccustomed to 
the remedy find one pipe sufficient, while others can bear 
three or four in the course of a day, during a fit of the 
asthma. 

The Parisian pharmaceutists prepare anti-asthmatic cigar- 
ettes, by moistening the stramonium leaves with a strong in- 
fusion of opium. The leaves are then dried, cut, and rolled 
in strips of paper, and the ends are twisted. 

Some patients are annoyed by the copious production of 
smoke in the combustion of stramonium. To obviate this in- 
convenience, M. Dannecy, of Bordeaux, waters the leaves 
(previously dried and spread out) with a solution of nitrate of 
potassa, in the proportion of three ounces of the salt to two 
pounds avoirdupois of the plant. 

By this process the combustion is rendered more complete 
and less annoying, and the patient experiences additional 
benefit from the fumes of the saltpetre. 

In fact, many asthmatics have learned by practical experi : 
ence that no remedy affords more certain and prompt relief 
for their sufferings than the ignition in their chamber of slips 
of paper previously saturated with nitrate of potassa and 
dried. E. P. T. 

257. Inhalation of Chlorine. 

Chlorine gas has also been much used by inhalation, not 
pure, however, but mixed or diluted with atmospheric air. 
Por this purpose, a little acid of any kind may be dropped 
gently on a mixture of chloride of lime, by which means the 
chlorine is gradually disengaged, and is inhaled as it rises ; or 
the air of a room may be pervaded with it in like manner. 
It has been much commended in bronchitis and the kindred 
affections, but it is getting into disuse from its manifest in- 
efficiency. 

[258. Inhalation of Cubebs and Carbolic Acid.'] 

B. Tincturas Cubebas f'sss; 

Acidi Carbolici liquidi gtt. xx. 
Misce. 

Signa. — Add to half pint of hot water in an inhaler, and use 
every three or four hours, taking full inspirations until 
tired. 



EXPECTORANTS. Ill 

Found to be a very efficient relief in the dry cough, and pain 
of phthisis. 

[259. Atomization of Fluids for Inhalation.] 

The most important improvement which has been made in 
the topical application of remedies to the respiratory mucous 
membrane is in the inhalation of atomized liquid, or liquid 
broken into a fine spray by means of a simple apparatus for 
the purpose, and diffused through the air which is drawn into 
the lungs. The atomizers used for this purpose are now so 
well known to the profession that a description of them is not 
necessary, and if it were desirable, the limits of this work would 
not warrant it. For a full description and history of this 
method of medication the reader is referred to the valuable 
little monogram upon this subject by Dr. J. M. Da Costa. 

From that work I would simply extract the following 
formulae for fluids to be used in the atomizer : — 

The doses given are calculated for the fluidounce of water. 
( 10 to 20 grs. — In chronic catarrh of pharynx and 

Alum I air tubes. 

(_ 30 grs. — In pulmonary hemorrhage. 

Tannin 1 to 20 grs. — In same condition as alum. 

Ferri Perchloridum gr. £-ij. — Earliest stages of phthisis. 

Argenti Nitras gr. j-x. — In ulcerations of the pharynx and 
larynx (a face shield to be used always). 

Zinci Sulphas gr. j-vj. — In bronchial catarrh and aphonia. 

Sodii Chloridum gr. v-xx. — In free expectoration of phthisis. 

Liquor Sodse Chlorinalee f3ss-j. — In gangrene, and offensive 
bronchitis and phthisis. 

Potassse Chloras gr. x-xx. — In chronic laryngitis with dry- 
ness. 

Extractum Opii Aquosum gr. J-J. — In irritative coughs, 
and for general anodyne. 

Tincturse Opii gtt. iij-x. — In irritative coughs, and for 
general anodyne. 

Morphise Acetas gr. ^~l- — For same; large doses require 
caution. 

Extractum Conii Fluidum ttliij-viij. — Irritative cough ; 
asthma. 

Extractum Hyoscyami Fluidum ^liij-x. — Spasmodic coughs, 
pertussis. 

Tincturse Cannabis Indicse tflv-x. — Spasmodic coughs, 
phthisis. 

Liquor Iodinii Compositus n^ij-xv. — Chronic bronchitis, 
phthisis. 



112 EXPECTORANTS. 

Liquor Potassse Arsenitis ™ j-xx. — Nervous asthma( Trous- 
seau). 

Aqua Picis Liquidise f 3j-ij of officinal solution. — As anti- 
septic. 

Olei Terebiniliinse fllj-ij. — In bronchorrhoea, gangrene of 
lungs. 

Liquor Ccdcis ) ordinary strength. — In diphtheria, mem- 

Syrupus Calcis j branous croup. 

Aquas Destillatx. — In haemoptysis, to be used cold. 



CLASS Till. 



EMMEIAGOGUES AND UTEEISE 
EEMEDIES. 

Emmenagogues are those medicines which promote the 
menstrual discharge, or restore it when entirely suppressed. 
Although by some authors the specific action of these medi- 
cines on the uterus has been questioned, if not denied; yet 
by others, of equal authorhVy, it has been fully acknow- 
ledged. 

It must, however, be observed, that amenorrhoea occurs 
under opposite states of the system ; and when general de- 
bility appears to be the cause of the local disease, it may be 
advisable to accompany the emmenagogue with an active 
course of tonics. While, on the contrary, if the obstruction 
be the effect of a plethoric habit, bleeding, cathartics, etc., are 
essential preliminaries to the successful exhibition of a specific 
remedy. 

Powders and Pills. 

260. Powder of Aloes, Canella, and Serpentaria. 

R. Pulveris Aloes Barbadensis £j ; 

Pulveris Canellse gr. xviij ; 

Pulveris Serpentarias gr. xij. 
Misce, et divide in pulveres yj. 
Signa. — One every night, at bedtime, in syrup. 

This compound, which is one form of the Mera picra of the 
shops, forms a very good purgative, and is usually employed 
as an emmenagogue. 



114 UTERINE REMEDIES. 

261. Powder of Savin, Sulphate of Potassa, etc. 

R. Pulveris Sabinas, 

Pulveris Zingiberis, aa 3j ; 

Potassae Sulphatis 3ij- 
Fiant pulveres vj. 
Signa. — One to be taken thrice a day. 

Savin is an excellent stimulant emmenagogue, and when 
administered just before the menstrual period, often aids in 
producing the flow. 

262. Powder of Savin and Cantharides. 

R. Pulveris Sabinae 3j ; 

Pulveris Cantharidis gr. ij. 
Misce, et divide in pulveres iv. 

Signa. — One to be taken every night on going to bed, watch- 
ing its effects. 

Used in amenorrhoea. 

263. Powder of Savin and Ergot. 

R. Pulveris Ergots, 

Pulveris Sabinae, aa 9ij. 
Misce, et divide in chartulas iv. 
Signa. — One may be taken morning and night. 

This is a good combination for aiding in the restoration of 
the menstrual discharge. 

264. Powder of Savin, Borax, and Ginger. 

R. Pulveris Sabinae, 

Pulveris Zingiberis, aa gr. vij ; 
Sodas Boratis gr. xv. 
Fiat pulvis. 

This powder is to be taken twice a day, in amenorrhoea 
with a languid pulse. Thomson. 

265. Compound Pills of Iron and Myrrh. 

R. Myrrhae 3ij ; 

Potassae Carbonatis 3j. 
Tere simul, dein adde — 

Ferri Sulphatis, 

Sacchari, aa 3j- 
Fiat massa, et divide in pilulas lxxx. 

Two or three pills are given three times a day in amenor- 
rhoea and chlorosis. Hulse. 



UTERINE REMEDIES. 115 

266. Hooper's Pills. 

R. Ferri Sulphatis exsiccatae 3j ; 

Pulveris Jalapaa gr. xv ; 

Pulveris Aloes et Canellaa 3j ; 

Myrrhae gr. viij ; 

Syrupi q. s. 
Fiat massa, et divide in pilulas 1. 

Of these pills two or three are taken at bedtime, for several 
nights successively. They purge smartly, and I presume it is 
by virtue of this property they operate so beneficially as an 
emmenagogue. 1ST. Chapman. 

[267. Pills of Phosphoric Acid and Opium.'] 

R. Acidi Phosphorici glacialis gr. xij ; 

Pulveris Opii gr. iv ; 

Syrupi q. s. 
Misce, et divide in pilulas xij. 
Signa. — Give one pill every two or three hours. 

In menorrhagia or uterine hemorrhage. 

268. Pills of Digitalis, Myrrh, and Iron, 

R. Pulveris Digitalis gr. x; 

Myrrhse gr. xx ; 

Ferri Sulphatis exsiccataa gr. x ; 

Syrupi q. s. 
Fiat massa, et divide in pilulas x. 
Signa. — Take one pill three times daily. 

Dr. S. Ashwell recommends these pills in amenorrhoea com- 
bined with epilepsy. 

269. Pills of Aloes, Sulphate of Iron and Cloves, 

R. Ferri Sulphatis exsiccatas dj ; 

Pulveris Aloes Socotrinaa 9ij ; 

Pulveris Caryophylli gr. v; 

Terebinthinaa Yenetaa q. s. ut fiant pilulas xx. 
Signa. — One to be taken three times a day. 

In amenorrhoea. 

270. Pills of Citrate of Iron and Strychnia. 

R. Ferri et Strychniaa Citratis gr. 1 ; 

Extracti Gentianaa gr. x. 
Fiat massa, et divide in pilulas xxx. 
Signa. — One pill three times daily. 



116 UTERINE REMEDIES. 

This double salt is not officinal, and therefore liable to vary 
in strength. As made in Philadelphia, fifty grains of the 
compound salt contain one grain of strychnia. It is an ex- 
ceedingly valuable remedy in chlorosis and amenorrhoea. 



Fluid Preparations. 

271. Decoction of Seneka Snakeroot. 

B. Senegas contusae 3j ; 

Aquas Oj. 
Coque ad f Ixij, dein adde — 

Aurantii Amari Corticis Iss. 
Macera per horam dimidiam, et cola. 

Dr. Chapman observes: "My rule in the administration of 
this medicide in amenorrhoea is, to give about four ounces of 
the decoction, more or less, during the day, according to the 
circumstances of the case. But at the time when the men- 
strual effort is expected to be made, and until the discharge 
is actually induced, I push the dose as far as the stomach will 
allow, having given as much as two ounces every hour." — 
Therapeutics, vol. ii. p. 38. 

272. Mixture of Oil of Erigeroii. 

B. Pulveris Acacias, 

Sacchari, aa 3ij ; 

Aquas f 5j. 
Tere simul, et adde gradatim — 

Olei Erigerontis Canadensis, f 3j ; 

Aquas Menthas Yiridis, f^ij. 
Fiat mistura. 
Sigyia. — A dessert-spoonful every two hours. 

Dr. E. Wilson and others report favorably of the use of 
this oil in menorrhagia, uterine hemorrhage, and irritable 
bladder. A. C. Bournonville. 

273. Decoction of Cotton Root. 

B. Gossypii Eadicis contusi 3iv; 

Aquae bullientis Oij. 
Misce, coque ad Oj, et cola. 
Signa. — Dose, a wineglassful. 



UTERINE REMEDIES. 117 

When employed to promote uterine contraction, as a sub- 
stitute for ergot, Dr. Bouchelle directs this dose to be repeated 
every twenty minutes. Dr. T. J. Shaw administers the same 
quantity every hour in dysmenorrhoea. He has great confi- 
dence in the emmenagogue properties of cotton root. 

274. Mixture of Camphor. 

R. Camphoras 9j; 

Alcoholis q. s. lit flat pulvis. 
Dein adde — 

Pulveris Acacias, 

Sacchari, aa 3j ; 

Aquas Cinnamomi f^j. 
Fiat mistura. 

This mixture would more properly appear under the head 
of Narcotics; but as Dr. Dewees considers it particularly effi- 
cacious in dysmenorrhoea, we have given it a place with Em- 
menagogues. He directs " one-half the above draught to be 
given the instant pain is experienced, and if not relieved in 
an hour or two, the remainder to be given." — Syst. of Mid- 
wifery, p. 158. 

275. Mixture of Ergotine. 

R. Extracti Ergotas Aquosi gr. xv; 

Syrupi Aurantii Corticis f sj ; 

Aquas f Jiij. 
Misce. 
Signa. — Dose, a tablespoonful. 

In uterine hemorrhage this dose should be given every ten 
or fifteen minutes, until arrested. The remedy has also 
proved serviceable in other forms of hemorrhage. 

Bon jean. 

276. Mixture of Oantharides, Ammonia, and Gentian. 

R. Tincturas Gentianse Composite f^jss; 

Tincturas Cantharidis f 3 j ; 

Spiritus Ammonise Aromatici f3iij- 
Misce. 
Signa. — Give a teaspoonful three times daily. 

Useful in chlorosis and rrysterical depression. 

S. ASHWELL. 



118 UTERINE REMEDIES. 

277. Tinctures of Black Hellebore, Myrrh, and Caniharides. 

R. Tincturae Hellebori f^ss; 

Tincturae Myrrhs f 3j ; 

Tincturae Cantharidis f 3ij. 
Fiat mistura. 

Signa. — Dose, thirty drops, three times a day, in a little sugar 
and water. 

Eecommended in amenorrhoea. 

278. Dewees's Tincture of Guaiacum. 

R. Pulveris Guaiaci Kesinae 3iv; 

Sodas vel Potassae Carbonatis 3jss; 
Pulveris Pimentae 3j ; 
Alcoholis diluti Oj. 
Misce. "Digest for a few days. The volatile spirit of am- 
monia to be added pro re nata, in the proportion of a draehm 
or two, to every four ounces of tincture." 

The above formula is different from that adopted in the Phar- 
macopoeias, for which reason we have inserted it here. Dr. 
Dewees remarks that, after nearly thirty-five years' experience 
with this tincture, he has never known it to fail in restoring 
the suppressed catamenia, when the suppression was an idio- 
pathic disease. He gives it morning, noon, and night, in doses 
of a teaspoonful in a little sweetened milk ; and sometimes in 
a little Madeira, Sherry, or Teneriffe wine. It is occasionally 
necessary to continue the medicine for some weeks, on which 
occasion, the dose must be judiciously augmented. — Syst. of 
Midwifery, p. 149. 

279. Volatile Tincture of Guaiacum and Copaiba. 

R. Tincturae Guaiaci Ammoniatae f §j ; 

Copaibae f 5ss. 
Misce. 
Signa. — A teaspoonful two or three times a day. 

In cases of amenorrhoea connected with general debility. 

280. Tinctures of Iron, Aloes and Myrrh, and Castor. 

R. Tincturae Ferri Chloridi, 

Tincturae Aloes et Myrrhae, aa f 3ss ; 

Tincturae Cast or ei f3ij. 
Misce. 
Signa. — Take thirty drops three times a day. 

This combination of iron and castor, with the elixir pro- 
prietatis, is indicated in general debility and chlorosis, and 



UTERINE REMEDIES. 119 

the attendant suppression of the menses. It may be given 
in sweetened water, or in cold chamomile tea. 

281. Tincture of Hiera Pier a. 

R. Pulveris Aloes et Canellae 3jss ; 

Spiritiis Vini Grallici Oj. 
Macera per dies decern et cola. 

Signa. — A teaspoonful may be taken three times a day in sugar 
and water. 

A popular and most efficient remedy in amenorrhcea. 

282. Emmenagogue Suppository. 

R. Olei Theobromas iij ; 

Pulveris Aloes Capensis 3ss ; 

Castorei, 

Assafoetidae, aa £ij- 
Fiant suppositoria xxv. 

One to be employed daily for several days at the expected 
period of the menses. Bichard. 

[283. Liniment of Iodide of Potassium^ 

R. Potassae Iodidi 3j ; 

Glycerinas f Jj. 
Misce. 

In chronic endometritis with uterine hypertrophy ; to be 
applied to the cervix uteri. Scanzoni. 

[284. Liniment of Iodide of Potassium and Opium.] 

R. Extract! Opii Aquosi gr. xx ; 

Potassas Iodidi 3ij ; 

Glycerinas f^j. 
Misce. 

To be used as the last in cases attended with hyperassthesia 
of the uterus and vagina ; may be applied by patient herself 
through a very small sized speculum. 

[285. Collodion of Iodine and Tanning 

R. Iodinii 3ss ; 

Acidi Tannici 3ij ; 
Collodii fSj. 

Misce. 

An efficient application to the granular surface of an indu- 
rated and hypertrophied cervix uteri. 



CLASS IX 



ANTHELMINTICS. 

Anthelmintics are medicines employed to destroy and 
bring away worms from the alimentary canal. They are also 
termed Vermifuges. 

The only -unequivocal proof of the existence of worms in the 
alimentary canal, is the ejection of some of them per anum, or, 
as sometimes happens, by the mouth. When, in such cases, 
vermifuges are resorted to, they must be persevered in for 
several days, with the occasional intervention of an active 
cathartic. The best vermifuges in many cases are the chaly- 
beate tonics with some bitter extract. 



Powders, Pills, and Lozenges. 

286. Calomel with Gamboge. 

B. Hydrargyri Chloridi Mitis gr. v ; 

Pulveris Gambogias gr. iij. 
Misce. 
Signa. — For an adult. To be taken in syrup at bedtime. 

Gamboge is sometimes given in doses of fifteen or twenty 
grains for the tapeworm, and is highly spoken of in such 
cases. 

287. Calomel with Pinhroot. 

R. Hydrargyri Chloridi Mitis gr. iv ; 
Pulveris Spigeliae gr. x. 

Misce. 

Signa. — To be taken two mornings in succession, and on the 
afternoon of the second day, followed by a dose of castor oil, 
or senna and manna. — For children upwards of four years 
old. 



ANTHELMINTICS. 121 

288. Powders of Pinkroot, Savine } and Senna. 

R. Pulveris Spigelias, 

Pulveris Sennas, aa 9ij ; 
Pulveris Sabinae gr. xij. 
Fiant chart alse vj. 

Signa. — One every morning till three are taken, then give a 
dose of castor oil ; if the effect is not produced, the remainder 
may be exhibited after the same manner. 

289. Powders of Common Salt and Cochineal. 

R. Sodii Chloridi 3iij ; 

Cocci in pulverem redacti gr. xv. 
Fiant pulveres vj. 

Signa. — One every morning for six days, following the last 
dose with some purgative medicine. 

Dr. Eush speaks in high terms of this preparation for the 
expulsion of the long round worms. 

290. Powders of Santonin. 

R. Santonini gr. vj ; 
Sacchari gr. xv. 
Misce, et divide in pulveres vj. 

Signa. — Give one powder night and morning to a child five 
years old, for worms. 

[291. Powders of Podophyllin, Santonin, and Iron.] 

R. Podophyllin gr. J; 

Santonini gr. iv ; 

Perri redacti gr. vj. 
Misce, et divide in chartulas iv. 
Signa. — Take one every night in syrup. 

For ascarides and lumbrici, in children two or three years 
old. 

292. Lozenges of Santonin. 
R. Santonini 3j ; 
Sacchari Ij ; 

Mucilaginis Tragacanthse q. s. ut fiat massa, in trochiscos 
lx clividenda. 
Signa. — Give one lozenge night and morning. 

• 293. Powder of Male Fern. 

R. Pulveris Filicis Maris %j. 
Signa. — Dose, a teaspoonful. 



122 ANTHELMINTICS. 

The following is Madame Nouffer's plan of treating cases of 
tapeworm : — 

"Give of the powder of the Male Fern root, from one to 
three drachms, in a large cupful of any distilled water, early 
in the morning. If the stomach should reject it, the powder 
must be repeated again, as soon as the sickness has gone off, 
in the same quantity. When it has been upon the stomach 
about two hours, a strong cathartic bolus (consisting of five 
grains of gamboge, twelve grains of calomel, and twelve of 
scammony) must be taken, and worked off with a draught of 
green tea every now and then ; and its operation may be still 
farther promoted, if necessary, by half an ounce of salts, dis- 
solved in warm water. Until the worm comes away, which 
generally happens on the same day, the patient is to take 
nothing but broth. If, however, the worm should not be dis- 
charged, either wholly or in part, the powder is to be repeated 
with the same regimen the next day." « 

It has been suggested, and with some probability, that the 
purge directed to follow this medicine is the more efficient of 
the two. 

294. Powder of Kameela. 
R. Kottleras £ij. 
Divide in pulveres iv. 
Signa. — Take one powder every hour, in syrup or aromatic 

water. 

Kameela is a powder brushed off the capsules of an East 
Indian shrub, the Rottlera tinctoria. It is used in India as a 
dye for silks, imparting to them a fine yellow color. Dr. 
McKinross, in 1853, made known its powers in the treatment 
of tapeworm. Many British practitioners have since tried it, 
and confirm his favorable testimony. It may be given in 
powder, in doses of thirty to sixty grains; or one or two 
teaspoonfuls of a tincture made by displacing four ounces of 
the powder in a pint of alcohol. In full doses, it causes purg- 
ing, with some nausea or even vomiting. 

295. Lozenges of Precipitated Carbonate of Iron. 

R. Vanillae 3j ; 

Sacchari Jxv. 
Tere simul et adde — 

Ferri Subcarbonatis Iv; 

Mucilaginis Tragacanthae q. s. 
Contunde in massam, et divide in trochiscos singulos gr. xx 

pendentes. 
Signa. — One lozenge may be taken several times daily. 



ANTHELMINTICS. 123 

This formula, devised by Mr. B. Parrish, furnishes to the 
practitioner a mode of administering the subcarbonate of iron 
to children in an agreeable and effectual form. 

Of this remedy, as an anthelmintic, the late Professor Bush 
had a very favorable opinion. He gave it in doses of from 
five to thirty grains to children of from one year old to ten, 
and sometimes in half ounce doses, with safety and success. — 
See Observ. and Inquiries, p. 243. 

296. Pills of Venice Turpentine, Calomel, etc. 

B. Terebinthinas Yenetas 5j ; 
Extracti Jalapas 3ss; 
Extracti Hyoscyami gr. iv; 
Hydrargyri Chloridi Mitis gr. viij. 
Fiat massa, et divide in pilulas singulas gr. ij pendentes. 
Signa. — Of these, four are to be taken every three hours; 
and during the entire period of their use, the patient is to 
take only weak broth, tea, or coffee. 

Used in tapeworm. Hitfeland. 



Infusions, Decoctions, etc. 

297. Compound Infusion of Pinkroot, or Worm-tea. 
R. Spigelias contuses ^ss; 
Sennas 3ij; 
Mannas sj ; 
Sabinas 9ij ; 
Eoeniculi 3ij ; 
Aquas bullientis Oj. 
Macera per horas duas et cola. 

Signa. — Dose, a tablespoonful three times daily, for three 
days, for a child four or five years old. If it purge too 
actively, it should be discontinued. 

Worm tea has stood the test of many years' experience in 
Philadelphia, and has proved itself one of the most efficient 
agents for the expulsion of the long round worm. 

298. Decoction of the Bark of Pomegranate Root. 

R. Granati Eadicis Corticis, 3jss ; 

Aquas, Ojss. 
Coque ad Oj, et cola. 
Signa. — Take a wineglassful every two hours. 



124 ANTHELMINTICS. 

This decoction is employed, almost exclusively, for the de- 
struction of tapeworm. 

"The efficacy of the bark of the root of the pomegranate, 
as a remedy for the tapeworm, is now well established in 
India." Pakis, vol. ii. p. 173. 

299. Infusion of Kousso. 
R. Brayerse iss ; 

Aquae bullientis f^x. 
Macera per horam dimidiam. 
Signa. — Dose, a teacupful every half hour. 

To be used for tapeworm. 

The only preparation necessary is, that the last meal of the 
preceding evening should be slight. The previous evacuation 
of the bowels, by a mild purgative or a lavement, is also de- 
sirable. The mode of administering the remedy is as follows : 
"A little lemon-juice is to be swallowed, and the infusion 
being stirred up, the whole is taken, liquid and powder, at 
two or three draughts, at short intervals, being washed down 
by cold water and lemon-juice. To promote the operation, 
tea (without sugar or milk) may be taken. In three or four 
hours, if the remedy has not operated, a dose of castor oil or 
a saline purgative should be administered." 

Jon. Peeeiea. 

Electuaries, Mixtures, etc. 

300. Electuary of Tin. 

R. Pulveris Stanni ^j ; 
Syrupi fusci f^iv. 

Misce. 

Signa. — Two tablespoonfuls may be given early in the morn- 
ing, to be repeated every two hours until the whole be 
taken, and then followed by an active cathartic. 

The efficacy of this substance is said to be increased by 
combination with sulphur, by which means sulphuretted hy- 
drogen is generated, and the worm destroyed by the offensive 
gas. Larger doses are sometimes prescribed. 

301. Electuary of Cowhage. 

R. Mucunse 3j; 

Mellis despumati q. s. ut flat electuarium. 

Signa. — Dose, a teaspoonful to a child two or three years old ; 
to be given before breakfast in the mornings of three suc- 
cessive days, and then followed by a brisk cathartic. 

In lumbrici. 



ANTHELMINTICS. 125 

[302. Mixture of Wormseed and Rhubarb.] 

B. Potassae Carbonatis pur as 3jss ; 

Extracti Ehei fluidi f 3jss ; 

Olei Chenopodii gtt. xxv ; 

Liquoris Calcis f §iv. 
Misce. 
Signa. — Give a teaspoonfal every two hours until purged. 

A very efficient vermifuge. L. C. Heyl. 

303. Mixture with Oil of Wormseed. 

B. Olei Chenopodii f 3jss ; 

Olei Eicini 3iij ; 

Olei Anisi gtt. x. 
Misce, et adde — ■ 

Syrupi Ehei Aromatici, f 3j. 
Fiat mistura. 

Signa. — Shake the bottle well before using. Give a teaspoon- 
ful night and morning to a child two years old. 

This mode of exhibiting the oil has been extensively tried 
in Baltimore, and has proved effectual. — Am. Journ. Pharmacy, 
p. 306, 1850. 

304. Another Form. 

B. Olei Chenopodii f3j ; 
Sacchari, 

Pulveris Acacias, aa 3ij ; 
Aquae Menthae Piper itae f^ijss. 
Misce secundum artem. 

Signa. — A teaspoonful of this preparation may be given four 
times a day for two days in succession, and then be purged 
off with castor oil or salts, for children of three to eight 
years old. 

This is a vermifuge of considerable reputation in this coun- 
try. It is generally used in lumbrici- and ascarides; though 
we have heard of its having been successfully given for taenia, 
but in much larger doses. S. G. Moeton. 

305. Fluid Extract of Pinkroot and Senna with Santonin. 

B. Extracti Spigeliae et Sennae Fluidi f^ij; 

Santonini gr. xvj. 
Misce. 

Signa. — Give a child, two years old, a teaspoonfal night and 
morning, until purging takes place. 



126 ANTHELMINTICS. 

This fluid extract, originally devised by Prof. Procter, has 
been used successfully in Philadelphia for the last ten years 
in the treatment of lumbrici. 

306. Mixture of the Extract of Male Fern. 

R. Olei Filicis Maris 3ss ; 

Mellis Kosse 3ss. 
Misce. 

Signa. — Take one-half at bedtime, and the remainder early in 
the morning, on an empty stomach. 

Used for tapeworm. If the worm does not come away in 
six or eight hours after the last dose, administer some mild 
purgative. The oil indicated in this prescription is in reality 
a fluid extract prepared with ether. Kadius. 

307. Linctus of Oil of Turpentine. 

R. Olei Terebinthinas Jij ; 

Mellis despumati aj. 
Misce, et fiat linctus. 
Signa. — Dose, a dessert-spoonful. 

The late Prof. Chapman had great confidence in the oil of 
turpentine as a remedy for tapeworm, and was in the habit 
of giving it in large doses at brief intervals. B. Ellis. 

308. Emulsion of Pumpkin Seeds. 

R. Peponis §ij. 

Decortica et contunde in massam cum 

Sacchari Ij. 
Dein adde gradatim — 

Aquas flviij. 
Misce. 

Signa. — The whole to be taken in two or three draughts, at 
short intervals, fasting. 

The efficacy of an emulsion of pumpkin seeds in expelling 
tapeworm is now established beyond doubt, as it has been ad- 
ministered repeatedly and successfully, both in the West In- 
dies and this country. The above is the formula of the late 
Dr. H. S. Patterson, who was among the first to introduce the 
remedy to the notice of American practitioners. 

The expressed oil of the seeds has also been tried in the 
dose of half an ounce, with a degree of success. 



ANTHELMINTICS. 127 



Clysters. 



Enemata are the most certain of all remedies in ascarides ; 
they may be made of various substances, such as solution of 
assafetida, of common salt, sulphur, pure olive oil, soap, aloes, 
etc. etc. For children, thirty grains of aloes should be dis- 
solved in half a gill of water ; to this add a tablespoonful of 
sweet oil, and administer the half of the mixture on going to 
bed. The other half the next night, if necessary. Or aloes 
may be given in mucilage, as in the following formula : — 

309. Aloetic Enema. 

B. Aloes Capensis 5j ; 

Mucilaginis Ulmi Oj. 
Fiat enema. 

Signa. — The half of this may be given to a child eight or ten 
years old. 

In ascarides. 

310. Enema of Camphor and Sweet Oil. 

B. Camphorae 5j ; 
Olei Olivse lij. 
Misce pro enemate. 

This preparation is particularly adapted to ascarides, and 
should be freely thrown np the rectum for three or four suc- 
cessive nights. No remedy is more effectual than this in re- 
lieving the intolerable itching caused by those worms. 

311. Anthelmintic Clyster. 

B. Hydrargyri Iodidi Eubri gr. |; 

Potassii Iodidi gr. viij. 
Tere simul, et adde gradatim — 

Aquas destillatas Oj. 
Signa. — Inject a wineglassful night and morning. 

The injections should be continued for two or three days, 
and be repeated once or twice at the end of two weeks. When 
thus employed, the remedy seldom fails in the removal of 
seat- worms (ascarides). The dose prescribed is for a child. 

Trousseau, 



CLASS X. 



STIMULANTS. 

In the use of stimulants, it is for the most part advisable 
to begin with small doses, and augment them as circum- 
stances may require. There are cases, however, in which it 
is necessary to give them plentifully from the first. 

It will be often requisite to change not only the stimu- 
lating substance, but the part of the body to which it is 
applied ; thus, when the stomach fails, the rectum and skin 
may be acted upon with advantage. 



Pills, Powders, etc. 

312. Pills of Camphor, Cantharides 1 and Opium. 

R. Pulveris Cantharidis gr. xviij ; 

Pulveris Opii, 

Camphorse, in pulverem cum alcohole redactse, aa gr.xxxvj ; 

Confectionis Kosse q. s. ut fiant pilulse xxxvj. 
Signa. — One may be taken every night on going to bed. 

In impotency from general debility. 

313. Pills of Turpentine and Guaiacum. 

R. Pulveris Guaiaci Eesinse 5j; 

Terebinthinse Venetse q. s. ut fiant pilulas xv. 
Signa. — One three times a day. 

These pills have a powerful effect upon the urinary organs. 
They are employed in gleet and leucorrhoea, but frequently 
produce strangury. 



STIMULANTS. 129 

314. Pills of Cayenne, Pepper. 

R. Pulveris Capsici gr. xxiv ; 
Extracti Gentianse gr. xvj. 
Misce, et fiant pilulae xij. 
Signa. — One, four times a day. 

Used in debility of the stomach, from intemperance. 

St. Bart. Hospital. 

315. Creasote Pills. 
R. Creasoti n^iij ; 

Pulveris Hyoscyami Folii gr. xij ; 

Confectionis Aromaticae q. s. 
Fiat massa in pilulas xij dividenda. 
Signa. — Take one pill three times daily. 

Used to allay the morning sickness in pregnancy. 

PlTSCHAFT. 

316. Pills of Valerianate of Quinia. 

R. Quiniae Yalerianatis gr. xij; 

Pulveris Tragacanthae gr. vj; 

Aquas q. s. ut fiat massa in pilulas viij dividenda. 
Signa. — Give one pill every hour. 

Used in hemicrania. 

The late Dr. Joseph Parrish was in the habit of treating 
hemicrania successfully, by a combination of Peruvian bark 
and valerian. This formula contains the active constituents 
of both remedies in a concentrated form. It has afforded 
prompt relief in numerous instances. 



Mixtures and Infusions. 

317. Mixture of Carbonate of Ammonia. 

R. Ammoniae Carbonatis Jj; 

Sacchari, 

Pulveris Acaciae, aa 5jss; 

Aquae Menthas Viridis f siv. 
Fiat mistura. 
Signa. — A tablespoonful every two hours. 

As carbonate of ammonia sustains the action of the heart, 
9 



130 STIMULANTS. 

without stimulating the brain, it is resorted to whenever the 
vital powers begin to fail, in diseases of nearly every type. 

[318. Effervescing Ammonia Mixture.'] 

R. Ammonias Carbonatis 3ij; 

Acidi Hydrocyanici diluti nixx; 
Tincturas Cardamomi Composite f3yj ; 
Infusi Aurantii q. s. nt fiat mistura f Jviij. 
Signa. — Put two tablespoonfuls into one third of a tumbler of 
water ; add a tablespoonful of fresh lemon-juice, and drink 
while foaming, three or four times daily. 

In acidity of stomach, with depression. Tanxer. 

319. Draught with Valerian and Carbonate of Ammonia. 

R. Olei Valerianae gtt. iij; 

Ammonias Carbonatis gr. x ; 

Aquas Cinnamomi f^jss; 

Syrupi f 3ss. 
Fiat haustus. 
Signa. — One-half to be taken every fourth hour. 

In nervous headache, and depression of spirits. 

320. Draught of Carbonate of Ammonia and Ginger. 

R. Pulveris Zingiberis gr. xv; 

Ammonias Carbonatis gr. viij ; 

Tincturas Cinnamomi f 3ij ; 

Aquas f ijss. 
Misce. 
Signa. — To be taken at once. 

In gout or cramp of the stomach. 

321. Elixir of Valerianate of Ammonia. 

R. Ammonias Yalerianatis 3j ; 

Aquas Aurantii Florum f^ij; 

Syrupi, 

Spiritus Curacoa, aa f3J. 
Misce. 
Signa. — Dose, a teaspoonful. 

Used in hysterical affections and disorders of the nervous 

system. 



STIMULANTS. 131 

322. Mixture of Valerian and Cajeput Oil. 

R. Extracti Valeriana Fluidi f5ij ; 

Olei Cajuputi tt^xvj. 
Tere simul et adjice — 

Syrupi Acacias f 3yj ; 

Aquae Aurantii Florum f 3J. 
Misce. 
Signa. — Dose, a teaspoonful. 

This is a mild and effectual stimulant, with a specific tend- 
ency to the nervous system. It may be used beneficially to 
correct hiccough, twitchings of the muscles, restlessness. It 
is also employed in hysteria. 

323. Mixture of Oil of Turpentine. 

R. Olei Terebinthinas 3j ,* 

Pulveris Acacias, 

Sacchari, aa 3ij ; 

Tinctures Opii gtt. lx ; 

Spiritus Lavandulae Compositi f3ij ; 

Aquas Menthas Yiridis f^v. 
Fiat mistura. 
Signa. — A tablespoonful for a dose, every two hours. 

This remedy has gained great reputation in some of the low 
forms of fever. The author once employed it in the dose pre- 
scribed above, in passive hemorrhage from the bowels, with 
complete success ; and in hemorrhage from the bladder, result- 
ing from low fever, it has been given with equal advantage. 

B. Ellis. 

324. Camphor Mixture. 

R. Camphoras, in pulverem cum Alcohole redactas 3j ; 

Pulveris Acacias, 

Sacchari, aa 3jss; 

Tincturas Opii gtt. xl ; 

Aquas Menthas Viridis fjiv. 
Fiat mistura. 
Signa. — A tablespoonful to be given every two hours. 

Used in typhoid and nervous fevers. B. Ellis. 



132 STIMULANTS. 

325. Camphor Julep. 

R. Camphoras, in pulverem redactas 3ss; 

Aquas bullientis f^viij. 
Macera per horam dimidiam, in vase leviter clause-, et cola. 
Signa. — A tablespoonful for a dose. 

Many of the older practitioners were in the habit of using a 
hot camphor tea, in dysmenorrhcea, under an impression that 
its virtues are better developed. It certainly is stronger hot 
than cold, but in neither case is it equal to the officinal cam- 
phor-water (aquae camphorae) which contains three grains to 
the fluidounce when properly prepared. 

326. Camphor and Myrrh Mixture. 

R. Camphorae 3j ; 

Myrrhae 3ss. 
Tere simul et adde gradatim — 

Sacchari §j ; 

Aquas fivj. 
Misce. 
Signa. — A tablespoonful to be given every two hours. 

Chiefly used in dysmenorrhcea. 

827. Mixture of Camphor and Chloroform. 

R. Camphorse 3ij ; 

Chloroformi puriflcati 3j ; 

Yitelli unius ovi ; 

Aquae f §iv. 
Fiat mistura. 

This mixture affords us the means of administering large 
doses of camphor, in as concentrated a form as it would be 
safe to give a local irritant. It can be diluted with water 
without precipitation. Each teaspoonful contains four grains. 

Smith. 
328. Solution of Camphor in Ether. 

R. Camphorse 3ss; 

^Etheris f gj. 
Solve. 
Signa. — Take ten drops every twenty minutes. 

Used in cholera morbus and cholera. 

" I have found nothing so effectual in giving relief to the 
nausea and vomiting of the early stages of cholera as small 
doses of this solution, frequently repeated." 

John Eberle. 



STIMULANTS. 133 

329. Mixture of Paregoric and Ammoniated Guaiacum. 

R. Tincturae Opii Camphoratae, 

Tincturae Gruaiaci Ammoniatae, aa f^j. 
Fiat mistura. 

Signa. — Two teaspoonfuls in sweetened water every two 
hours. 

In misplaced and retrocedent gout. 

330. Yeast Mixture. 
R. Fermenti f^x; 

Camphoras 3ss; 

Spiritus iEtheris Nitrosi f 3ss. 
Fiat mistura. 
Signa — Take a tablespoonful every two hours. 

This was extensively used in the late typhus epidemic in 
Ireland, as a stimulant and antiseptic, and with the happiest 
results. Lampeey. 

331. Assafetida and Spirit of Ammonia. 

R. Spiritus Ammonias Aromatici f3ij; 

Tincturae Assafoetidae f3vj. 
Misce. 

Signa. — Give a teaspoonful, in sweetened water, every four 
hours. 

An excellent stimulus in nervous debility and hysteria. 

332. Emulsion of Phosphorus. 

R. Phosphori gr. ij ; 

Mucilaginis Acacias flj. 
Tere simul, et adde gradatim — 

Aquae f 3v. 
Fiat emulsio, dein adde — 

Syrupi f %] ; 

Spiritus JEtheris Compositi n^xxx. 
Fiat mistura. 

Signa. — The usual dose is a tablespoonful every three or four 
hours. 

Used in amaurosis, palsy, epilepsy, etc. Hufeland. 

As the violence of phosphorus as a remedy, and its very 
great power, are generally known to physicians, we need 
hardly repeat the necessity there is for the greatest caution in 
its administration. 



134 STIMULANTS. 

The subjoined is one of the many formulas adopted in 
Europe. 

333. Lobstein's Phosphorated Ether. 

R. Phosphori gr. ij ; 

Solve in iEtheris f sss. 
Dein adde — 

Spiritus Menthae Piperitae f5ss. 
Signa. — Take six drops on sugar every three hours. 

The bottle should be carefully stoppered, and covered with 
dark paper. Used in epilepsy, paralysis, and amaurosis. 

Foy. 

334. Phosphorated Oil. 

R. Phosphori concisi gr. vj; 

Olei Amygdalae Dulcis 3j. 
Liqua cum leni calore. Post refrigerationem, cola. 
Signa. — Dose, ten drops every three hours in mucilage. 

Advised in chronic rheumatism and gout. It is also used 
externally by friction in the same complaints, and for con- 
tracted tendons. Ph. Borussica. 

335. Glyeerole of Phosphorus. 

R. Phosphori concisi gr. ij; 

Glycerinae f 3J. 
Solve cum leni calore. 
Signa. — Dose, ten minims. 

Used for the same purposes, and proposed as a substitute 
for the above phosphorated oil. J. L. Crawcour. 

336. Mixture of Arnica. 
R. Arnicas 3ij ; 

Aquae bullientis Oss. 
Macera per horas duas et cola. Dein adde — 

Tincturae Arnicas f 3ij ; 

Tincturae Cardamomi f 3yj. 
Misce. 
Signa. — A tablespoonful three times a day. 

Recommended for the relief of tinnitus aurium. The dose 
to be gradually increased. It is also useful as a stimulant in 
atonic gout. Wilde. 



STIMULANTS. 135 

337. Mixture of Chlorinated Lime. 

B. Calcis Chlorinate 9j ; 

Aquas fliij. 
Solve et cola. Dein adde — 

Syrupi Zingiberis f sj. 
Fiat mistura. 
Signa. — Take a tablespoonful every three hours. 

Chlorinated lime is stimulant and antiseptic, and has been 
used beneficially in typhoid, typhus, and scarlet fevers. 

Eeid. 

338. Infusion of Cayenne Pepper and Salt. 

R. Pulveris Capsici Iss ; 

Sodii Chloridii 3j ; 

Aceti bullientis, 

Aquas bullientis, aa f ^viij. 
Macera per horam unam et cola. 
Signa. — Dose, a tablespoonful every two hours. 

This combination was employed in an epidemic of malig- 
nant scarlet fever in the West Indies with the happiest results. 
It was used both internally and as a gargle. Stephens. 

339. Mixture of Soda and Cubebs. 

R. Pulveris Cubebas 3ij ; 

Sodas Carbonatis 3ss ; 

Mucilaginis Acacias fjvj ; 

Aquas Menthas Viridis f 3vj. 
Fiat mistura. 
Signa. — Take a tablespoonful every hour and a half. 

Useful as an antacid and carminative. Fosbeoke. 

340. Mixture of Bismuth and Cubebs. 

B. Pulveris Cubebas 3ij ; 

Bismuthi Subnitratis 3ss ; 

Mucilaginis Acacias f Jss ; 

Syrupi f 3yj ; 

Aquas fgvj. 
Fiat mistura. 
Signa. — Take a tablespoonfal four times a day. 

We have extracted this and the preceding prescriptions 
from a paper of Mr. John Fosbroke, surgeon, Chittenham. 
(See Medical Recorder for April, 1825.) 



136 STIMULANTS. 

They are recommended in various affections of the mucous 
membranes, viz., of the bowels, bladder, trachea, etc. 

341. Mustard Whey. 

K. Lactis Yaccinas Oj ; 

Sinapis Albas contusas Ij. 
Coque cum leni calore, ad perfectam casei separationem, cola 
et adde — 
Yini Xerici f Ivj. 
Signa. — A draught of this whey may be taken every hour or 
two in low fever and in debilitated stomach. 

342. Wine Whey. 

B. Lactis Vaccinas bullientis Oss; 

Yini Xerici fliv. 
Misce, cola, et adde — 

Sacchari Ij ; 

Myristicas rasuras q. s. ad gratum saporem. 
Misce. 

There are few mild stimulants more employed, or more 
useful than wine whey. Dr. Chapman speaks of it as possess- 
ing a kindred action with carbonate of ammonia. The dose 
to be regulated by the circumstances of the case ; from four 
ounces to a pint during the day. 

343. Wine and Egg Mixture. 

R. Yitellum unius ovi ; 

Olei Cinnamomi gtt. x. 
Contunde simul, et adde — 

Yini Xerici, 

Aquas Cinnamomi, aa f 5jss ; 

Sacchari 3j ; 

Aquas destillatas flj. 
Fiat mistura. 

Signa. — Give a wineglassful, at short intervals, in convales- 
cence from low fevers. 

344. Egg-Nogg. 
R. Albumen et Yitellum unius ovi ; 

Sacchari Albi 3ij- 
Misce, et contunde in spumam. Dein adde — 

Yini Xerici f Iss; 

Aquas f Ij ; 

Myristicas rasuras q. s. ad gratum saporem. 
Misce. 



STIMULANTS. 137 

This delightful mixture is both stimulant and nutritious. 
In the formula, both the white and the yelk of the egg are 
directed to be beaten with the sugar ; but if it be desirable to 
have the preparation very light and delicate, it is better to 
beat the yelk to a froth and mix with the wine, sugar, and 
nutmeg, and then add to the mixture the white of the egg, 
previously beaten to a froth in a separate vessel. 

345. Milk Punch. 

R. Spiritus Yini Gallici f oij ; 

Lactic Vaccinas f.^iv; 

Sacchari gss ; 

Myristicas rasurse q. s. ad gratum saporem. 
Signa. — Take a tablespoonful every hour or two in low fevers. 

346. Oleo-Saccharoles. 

Under the name of oleo-saccharum, M. Beral has introduced 
into European pharmacy a convenient mode of exhibiting the 
volatile oils. It is simply a combination of any volatile oil 
with sugar, the latter serving the double purpose of rendering 
the former soluble in water, and covering its taste. The pro- 
portions are, one drop of oil to one drachm of sugar. They 
are to be carefully mixed by trituration. They act as mild 
carminatives. 



CLASS XI. 



SAEOOTICS. 

Nabcotics have been denominated sedatives, from their 
power of diminishing action ; anodynes, from their capability 
of alleviating pain; and hypnotics, or soporifics, from their 
power of inducing sleep. A few words only will be necessary 
as general rules for their administration, and any peculiarities 
that individuals of the class may possess will be noticed under 
the appropriate prescriptions. It is well known they possess 
the power of fulfilling two indications ; namely, of exciting 
and depressing the nervous energy. 

To obtain the first of these results, it is necessary to begin 
with small doses, and repeat them frequently ; while in order 
to arrive at the second, a full dose must be given, and not 
resorted to again for a considerable length of time. We 
should also bear in mind that the system very soon becomes 
habituated to their action, and the doses must be continually 
enlarged when it is necessary to maintain their impression. 
The difference between the susceptibility to their action when 
the body is in a morbid or healthy condition, should not be 
overlooked. 

Pills. 

3-i7. Pills of Opium. 

B. Pulveris Opii gr. xij ; 

Saponis gr. iij. 
Misce, et divide in pilulas xij. 
Signa. — One is the ordinary dose to produce sleep. 

In equal weights of powdered and soft opium, the former is 
much the more powerful, the latter containing a considerable 
proportion of water. This should be recollected in directing 
the medicine in the form of pills. 



NAECOTICS. 139 

An opium pill that has been made long enough to become 
perfectly hard and dry, will be retained by an irritable 
stomach when a fresh one would be rejected. 

348. Pills of ' Lupulin. 
R. Lupulinas 3ss; 

Contunde in mortario, et divide in pilulas x. 
Signa. — Two pills may be given for a dose, and the quantity 
be doubled if necessary. 

This substance, we are told by Dr. Ives, contains all the 
active properties of the hop. It is slightly narcotic, and is 
serviceable in irritable stomach, and as a preventive of noc- 
turnal erections in different forms of acute venereal disease. 

349. Pills of Sulphate of Morphia. 

R. Morphias Sulphatis gr. ij ; 

Confectionis Kosas q. s. ut fiant pilulas xij. 
Signa. — One may be given for a dose. 

One grain of either of the salts of morphia is usually esti- 
mated as equal to six of opium ; so that a pill of the above 
prescription will be equivalent to a grain of opium. 

350. Pills of Lactucarium and Hemlock. 
R. Lactucarii gr. xij ; 

Extracti Conii Alcoholici gr. vj. 
Misce, et divide in pilulas vj. 

Signa. — One for a dose, to be repeated in two hours, if sleep 
be not procured. 

The inspissated juice of the garden lettuce is said to act as 
a direct sedative, lessening the frequency of the pulse, dimin- 
ishing the natural heat, and procuring sleep, without inducing 
the subsequent distressing effects which follow the use of 
opium. 

The thridace of the French appears to be prepared by a 
different process from that employed in the preparation of the 
British lactucarium. The former is not so highly esteemed 
in this country as the latter. 

351. Pills of Henbane and Ipecacuanha. 

R. Extracti Hyoscyami Alcoholici gr. x; 

Pulveris Ipecacuanhas gr. v. 
Misce, et divide in pilulas x. 

Signa. — One every two hours until relief is procured, watch- 
ing the effect. 

Used in flatulence and irritability of the bowels. 



14:0 NARCOTICS. 

352. Pills of Opium and Henbane. 

R. Pulveris Opii gr. v; 

Extracti Hyoscyami gr. xv. 
Fiat massa, in pilulas x dividenda. 
Signa. — One every night when an anodyne is required. 

Henbane is a favorite anodyne remedy with English prac- 
titioners. When given in combination with opium, it modifies 
the unpleasant effects experienced by some persons from the 
use of the latter alone. 

[353. Pills of Opium and Colocynth.'] 

R. Pulveris Opii gr. vj ; 

Extracti Colocynthidis Compositi gr. xxiv ; 

Syrupi Acacias q. s. ut fiat massa in pilulas xij dividenda. 
Signa. — One every hour till purging is produced. 

In lead colic, and obstruction from impaction of feces. 

J. F. Meigs. 

354. Pills of Camphor and Opium. 

R. Camphorge in pulverem redactas 9ij ; 

Extracti Opii gr. viij. 

Mucilaginis Tragacanthas q. s. ut fiat massa in pilulas xvj 
dividenda. 
Signa. — Take two pills every night at bedtime. 

Used for spasm of the urethra, and to prevent nocturnal 
erections. Kicord. 

355. Pills of Opium and Digitalis. 

R. Pulveris Opii, 

Pulveris Digitalis, aa gr. vj. 

Confectionis Kosas q. s. ut fiant pilulas xij. 
Signa. — One to be taken every four hours. 

In asthma. 

[356. Compound Anodyne Pill.] 

R. Extracti Cannabis Indicas, 

Extracti Belladonnas, 

Extracti Nucis Yomicas, aa gr. ij ; 

Extracti Valerianae, 

Quinias Sulphatis, aa gr. xij. 
Misce, et divide in pilulas xij. 
Signa. — Take one pill every two hours until relieved. 



NARCOTICS. 141 

A very efficient pill in simple neuralgia, especially cepha- 
lalgia, from cerebral irritation or excessive mental activity. 
The extracts of the narcotics should be carefully selected. 

[357. Anaesthetic Pill'] 

R. Morphias Sulphatis gr. viij; 

Camphoras gr. xx ; 

Olei Cajuputi gtt. x; 

Pulveris Tragacanthas gr. v ; 

Extracti Grentianas gr. xv ; 

Syrupi Acacias q. s. 
Misce, et divide in pilulas c. 

Signa. — Take two or three at a dose, to be repeated every 
half hour till relieved. 

For abdominal pain, colic, or cholera. J. F. Meigs. 

358. Pills of Extract of Conium and Calomel 

R. Extracti Conii 3ss ; 

Hydrargyri Chloridi Mitis gr. v. 
Fiant pilulas xv. 
Signa. — One three times a day. 

Used in painful syphilitic affections. 

359. Pills of the Extract of Nux Vomica. 

R. Extracti Nucis Vomicae Alcoholici, 

Pulveris Extracti Glycyrrhizas, aa 9j. 
Misce, et riant pilulas xl. 
Signa. — Take one pill three times daily. 

Recommended in general and local palsies, in paralysis of 
the sphincters, and for incontinence of urine. Radius. 

360. Pills of Camphor ) Assafelida, etc. 

R. Camphoras, 

Assafcetidas, aa 3j ; 

Extracti Belladonnas 3ss ; 

Extracti Opii gr. x. 
Contere in massam, et divide in pilulas lx. 
Signa. — One pill is given night and morning, or at shorter 
. intervals, according to the urgency of the case. 

Used in hysteria. Debreyne, 



142 



NARCOTICS. 



361. Pills of Aconite and Dover's Powder. 

R. Extracti Aconiti Alcoholici gr. vj ; 

Pulveris Ipecacuanliae Compositi gr. xij ; 

Syrupi q. s. ut flat massa, in pilulas vj dividenda. 
Signa. — Take one pill three times a day. 

Used in chronic rheumatism. 



Mixtures, etc. 

362. Laudanum. 

R. Tincturse Opii flj. 

Signa. — Dose, twenty-five drops. 

As the regulation of doses for children is, to the young 
practitioner, one of the most difficult parts of prescribing, and 
as laudanum is an article so universally employed in their 
diseases, we subjoin the following graduated table from Dr. 
Dorsey's Syllabus, page 36, 1817, giving the maximum doses 
for all ordinary conditions : — 



For a child at birth or 


within a month after 


i- to 1 drop. 


Under a year old . 


J to 3 drops. 


From one to two years 


of age 


1 to 5 " 


From two to five 


u 


2 to 8 " 


From five to ten 


tt 


5 to 15 " 


From ten to fifteen 


a 


. 10 to 20 " 


At fifteen years . 


. . . . 


15 to 20 " 


For an adult 


. . . . . 


25 to 30 " 



It is important in the employment of laudanum that it 
should be of the proper strength and perfectly transparent. 
For these reasons, it should be obtained from the apothecary 
in small quantities, as it is liable to deposit part of the opium ; 
hence the liquid near the surface is weaker, and the dregs 
correspondingly stronger. Infants have been destroyed by 
the exhibition of thick laudanum. Physicians, therefore, 
should never trust a nurse to administer a dose to a child, 
except under circumstances of extreme urgency, carefully 
examining the bottle previously. B. E. 

363. Officinal Preparations of Opium.- 

As each of the numerous preparations of opium presents 
some peculiarities, which, at times, renders it preferable to all 
others for internal exhibition, the following statement of the 



NAKCOTICS. 143 

opium-strength of each may prove valuable as a guide in pre- 
scribing : — 

13 minims or 25 drops of laudanum (Tinctura Opii); 

13 " or 25 " of the elixir of opium (Tinctura Opii 

Deodorala) ; 
7 or 10 " of black drop (Acetum Opii); 

10 " or 20 " of the acetated tincture (Tinctura Opii 

Acetata) ; 

80 " or 80 " of ammoniated tincture (Tinct. Opii 

Ammoniata, Ed.); 
or 15 " of wine of opium or Sydenham's lau- 
danum ( Vinum Opii) ; 

A tablespoonful of paregoric (Tinct. Opii Camphor uta); 

Thirty-six grains of the confection (Confectio Opii)] 

Half a grain of the extract (Extractum Opii) ; and 

Ten grains of Dover's powder (Pulvis Ipecacuanhse Compo- 
situs), 

contain, respectively, one grain of opium. 

About five grains of opium, or a small teaspoonful of lauda- 
num, may be considered as equivalent to one grain of morphia, 
or of any of its salts. E. P. T. 

364. Solution of Sulphate of Morphia. 

R. Morphias Sulphatis gr. j ; 

Aquae destillatae f£j. 
Fiat solutio. 
Signa. — Dose, one teaspoonful. 

Used in the same cases as opium. 

When morphia and its salts were first introduced, the for- 
mulas given by Magendie were generally adopted, and are still 
retained in New York, and some other places. These contain 
sixteen grains of the sulphate or the acetate of morphia in a 
fluidounce of water ; whereas the officinal solution has but one 
grain to the ounce. Practitioners should avoid confounding 
the two solutions. 

365. Syrup of Sulphate of Morphia. 

R. Morphiae Sulphatis gr. viij ; 

Aquas destillatae fgiv. 
Solve, et adde — 

Syrupi f^iv; 

Spiritus iEtheris Compositi f3j. 
Misce. 
Signa. — Dose, a teaspoonful. 



144: NARCOTICS. 

This is, virtually, of the same strength as the officinal solu- 
tion, and has the advantage of being more durable as well as 
more palatable. J. T. Plummee. 

366. Mixture of Laudanum and Oil of Turpentine. 
R. Tincturae Opii f^j ; 

Olei Terebinthinas f Iss. 
Misce. 

Signa. — A teaspoonful, diluted, every hour or two may be 
given in delirium tremens, its effect being closely watched. 

The turpentine may be added or omitted at the discretion 
of the physician, and the quantity of laudanum in some cases 
may be doubled. We have successfully given two teaspoon- 
fuls every hour until two ounces of laudanum were taken. 
We do not believe in the doctrine, however, that opium in 
this disease may be administered almost ad libitum without 
danger. On the contrary, we feel assured that death has been 
caused by its excessive use in delirium tremens. 

S. G. Morton. 

367. Mixture of Lupulin. 

R. Tincturae Lupulinae f*j ; 

Syrupi Amygdalae fgj ; 

Aquas f Hij. 
Misce. 
Signa. — Dose, a tablespoonful every two hours. 

Dr. G. B. Wood recommends the tincture of lupulin in the 
treatment of delirium tremens, both as an adjuvant to opium, 
and as a substitute for it. By checking vomiting, and quiet- 
ing restlessness, it promotes sleep. 

368. Mixture of Camphor Water and Hoffman' s Anodyne. 

R. Aquae Camphorae foiij; 

Spiritus iEtheris Compositi, 

Syrupi Amygdalae, aa f jjjss. 
Misce. 
Signa. — Dose, a dessert-spoonful every two hours. 

Used in nervous affections, and the sleeplessness of fever. 

369. Mixture of Chloride of Propylamin. 

R. Propylamini Chloridi gr. xxxvj ; 

Sacchari 3ij ; 

Aquae Menthae Piperita^ fSvj. 
Fiat solutio. 
Signa. — A tablespoonful every two hours. 



NARCOTICS. 145 

370. Elixir of Propylamin. 

R. Propylamini Chloridi 9ij; 

Aquae fsiijss. 
Solve et adde — 

Syrupi fsss ; 

Spiritus Curacoae foj. 
Misce. 
Signa. — Dose, a teaspoonful. 

Given in rheumatism. 

In this preparation the unpleasant odor and taste of the 
propylamin are overcome by the use of syrup and Curacoa 
cordial. Each fluidrachm contains one grain of the chloride 
of propylamin. 

P. H. Stabler. 



371. Mixture of Iodide of Propylamin. 

R. Propylamini Iodidi gtt. xxv; 

Sacchari 3ij ; 

Aquae Menthae Piperitae f^vj. 
Misce. 
Signa. — A tablespoonful every two hours. 

Used, like the other preparations of propylamin, in the 
treatment of rheumatism. The presence of iodine is claimed 
as an important element in this combination. B. J. Crew. 



372. Strychnia Mixture. 

R. Strychniae gr. j ; 

Acidi Acetici gtt. ij ; 

Sacchari 5ij ; 

Aquae destillatae f^ij. 
Fiat solutio. 
Signa. — A teaspoonful morning and evening. 

Prescribed in palsies. It has also proved beneficial in the 
vomiting of pregnant women, when given in smaller quantities 
and at shorter intervals. Magendie. 



10 



146 NARCOTICS. 

373. Solution of Extract of Belladonna. 

B. Extracti Belladonna gr. iij ; 

Syrupifjj; 

Aquae Cinnamomi f 3vij. 
Fiat solutio. 

Signa. — Give three drops thrice a day, to a child under a 
year old, and an additional drop for every additional year. 

Belladonna has been recently used in Germany as a pre- 
ventive of scarlatina. The extract, if given for several days, 
produces a scarlet eruption and affection of the fauces, analo- 
gous to those of scarlatina ; and it is pretended that this fac- 
titious disease is sufficient to prevent the access of the real 
one. S. G. Morton. 

374. Mixture of Chloric Ether. 

R. JEtheris Chlorici f^jss; 

Aquae Camphor as fSij ; 

Syrupi Amygdalae fsss. 
Misce. 
Signa. — A dessert-spoonful in water every three hours. 

As prepared by the manufacturing chemists of Philadelphia, 
chloric ether is of a uniform strength, and a reliable article. 
It is less narcotic than chloroform, but more stimulating. It 
has proved of great service in the treatment of many nervous 
and painful affections unattended by active inflammation. 

C. Evans. 

375. Chloroform Mixture. 

R. Chloroformi purincati 3ij ; 

Olei Cinnamomi gtt. viij ; 

Spiritus Camphorae, 

Tincturae Opii, aa f3jss ; 

Alcoholis fSiij. 
Misce. 

Signa. — The dose ranges from five to thirty drops, in sweet- 
ened water. 

This preparation has proved highly serviceable in the relief 
of the pains and cramps of colic, cholera morbus, and cholera 
asphyxia. H. Hartshorne. 



NARCOTICS. 147 

[376. Chlorodijne.] 

R. Chloroformi f 3 vj ; 

JKtheris Chlorici f 3j ; 

Tincturse Capsici f3ss; 

Olei Mentha Piperita gtt. ij ; 

Morphias Hydrochloratis gr. viij ; 

Acidi Hydrocyanici diluti gtt. xxiv; 

Acidi Perclilorici gtt. xx ; 

Tincturae Cannabis Indicas f 3j ; 

Syrupi fusci f3j. 
Misce. 

Signa. — Give 20 drops as a soporific, and 30 drops to a fiui- 
drachm as an anodyne in cholera or violent paroxysms of 
pain. 

This remedy has acquired a great reputation from its first 
introduction as a nostrum under the above name. Gooley. 

[377. Another Form.] 

R. Chloroformi f £iv ; 

^Etheris f I] ; 

Alcoholis f liv ; 

Syrupi fusci fsiv; 

Extracti Grlycyrrhizas iijss; 

Morphias Hydrochloratis gr. viij ; 

Olei Menthae Piperitas nixvj ; 

Syrupi f^xvijss; 

Acidi Hydrocyanici diluti f^ij. 
Misce secundum artem. 
Signa. — Dose, from five to ten minims. 

In pain, diarrhoea, or spasmodic affections. Known also as 
the compound tincture of chloroform. P. Squire. 

378. Chloroform Mixture. 

R. Chloroformi 3j ; 

Yitellum unius ovi. 
Tere simul et adde — 

Sacchari 3ij; 

Aquae f^ij. 
Fiat mistura. 
Signa. — Dose, a dessert-spoonful every two hours. 

Prescribed in gastrodynia, flatulent colic, and cholera mor- 



148 XAECOTICS. 

bus. Owing to the antiseptic properties of the chloroform, 
this mixture keeps well. 

It is used in the same eases as the preceding formula?. 

[379. Chloroform and Tincture of Cardamom .] 

R. Chloroformi ^Ixv. 

Tincturae Cardamomi Composite Ojss. 
Misce. 
Signa. — Take a teaspoonful every half hour in water. 

In pain where opiates are not desirable. 

Sie J. Y. Smpsox. 

[380. Emulsion of Chloroform.'] 

R. Chloroformi f3j ; 

Pulveris Tragacanthae gr. v; 

Pulveris Sacchari, 

Syrupi Orgeat, 

(vel Syrupi Amygdalae, U. S. P.) f 

Aquae, aa f ^ss. 
Misce secundum artem. 

This emulsion makes an admirable means of producing an 
extemporaneous solution of chloroform ; it may be diluted to 
any proportion required, and yet by a little gentle agitation 
is easily suspended. The flavor makes it a delightful addi- 
tion to other mixtures. Iseael J. GtEahame. 

381. Mixture of Magnesia, Assafetida, and Laudanum. 

R. Magnesia? Carbonatis 5ss: 

Tincturae Assafoetidae gtt. lx. 

Tincturae Opii gtt. xx ; 

Sacchari 5j ; 

Aquae destillatae fij. 
Fiat mistura. 

Signa. — Twenty-five drops may be given to an infant of two 
to four weeks old. 

In flatulent colic, diarrhoea, etc. 

This preparation was strongly recommended by the late 
Dr. Dewees, and it is dow much employed in this city under 
the name of Devjees's Carminative. 

If the calcined magnesia be used, it unites with the resin of 
the assafetida, forms an almost solid mass at the bottom of 



NAKCOTICS. 149 

the vessel, and defeats the object of the prescription, conse- 
quently the carbonate should be preferred. 

382. Carminative for Infants. 

R. Magnesia? Carbonatis 9j ; 

Vini Opii gtt. xv; ■ 

Syrupi Acacia? f3iij ; 

Aqua? Cinnamomi f 5v. 
Misce. 

Signa. — Shake well before using. Dose, ten drops-for a child 
three days old. 

Used to relieve colicky pains, and to correct the green 
alvine discharges of infants. 

383. Tincture of Hemp. 

R. Extracti Cannabis purificati, gr. xxiv; 

Alcoholis f Jj. 
Fiat solutio. 
Signa. — Take three to ten drops every two hours. 

The above is the formula of Dr. O'Shaughnessy, of Calcutta, 
who has had much experience with the gunjah or Indian 
hemp. In cholera, he gave ten drops every half hour to 
check the vomiting ; in tetanus, a drachm of the tincture, with 
the same interval, until the paroxysms ceased, or catalepsy 
was induced ; and in acute rheumatism, twenty drops until 
symptoms of intoxication were manifested. 

384. Alcoholic Solution of Oil of Bitter Almonds. 
R. Olei Amygdala? Amara? n^xx ; 

Alcoholis f 3iij. 
Fiat solutio. 
Signa. — Take ten drops four times daily. 

Used in neuralgia, tic douloureux, and other painful com- 
plaints. Hobn. 

Clysters and Suppositories. 

385. Laudanum Enema. 

R. Tinctura? Opii gtt. 1 ; 

Infusi Lini Compositi f^ij. 
Fiat enema. ■ 

Used for obstinate vomiting, chronic dysentery, and pain 
ful affections of the pelvic viscera. 



150 NAKCOTICS. 

[This formula is the one generally adopted for the laudanum 
enema, sometimes substituting starch water for the flaxseed 
tea. It has always seemed to the editor that this was a very 
bad method of using a most valuable remedy. The purpose 
of the opiate enema being to act as an anodyne by its absorp- 
tion, the object will be best attained by having as little as 
possible of the diluent to relieve the irritant impression of the 
alcoholic solution, and to have this diluent of such material 
as will be most readily taken up by the bowel ; and instead of 
two ounces of flaxseed tea, I have always been in the habit of 
ordering about three fluidrachms of warm water. The syringe 
should work accurately, as any air forced through it into the 
rectum causes tenesmus, and very often the ejection of the 
anodyne.] 

It is generally supposed that three times the quantity of a 
medicine may be thrown into the rectum that may be taken 
into the stomach. As regards opium, however, we believe it 
to be too much, particularly in children. Indeed, it is an un- 
settled point in therapeutics, whether remedies in relative 
doses, act more powerfully upon the rectum or upon the 
stomach. 

386. Opium Suppository. 

R. Pulveris Opii gr. ij ; 

Saponis gr. iv. 
Misce bene. 

Signa. — Introduce into the rectum when a local anodyne is 
indicated. 

387. Another Form. 

R. Olei Theobromee ^ss ; 
Pulveris Opii gr. xij. 
Liquefac cum leni calore. Misce, et fiant suppositoria xij. 
Signa. — One to be introduced into the bowel. 

This is a good form for securing the effects of opium, when 
the remedy cannot be borne by the mouth. 

S. W. Mitchell. 

388. Suppository of Opium and Rhatany. 

R. Olei Theobromse ^ss; 

Extracti Krameme 9ij ; 

Pulveris Opii gr. v. 
Misce secundum artem, et fiant suppositoria x. 

Used in piles, relaxation or descent of the bowel, fissure of 
the anus, etc. J. Pancqast. 



NARCOTICS. 151 

389. Suppository of Morphia. 

R. Olei Theobromas 3ss; 

Morphias Sulphatis gr. iij. 
Liquefac, et fiant suppositoria xij. 

The introduction of one of these into the bowel, every three 
or four hours, affords much relief in painful affections of the 
pelvic viscera, and, especially, in dysmenorrhoea, and cancer 
of the womb. Chordee can usually be controlled by the use 
of one at bedtime. They have also proved highly beneficial 
in arresting the pain attendant upon a threatened abortion. 

E. P. Thomas. 

390. Suppository of Hemlock. 

R. Olei Theobromae 3j ; 
Extracti Conii gr. x. 
Misce, et fiat suppositorium. 

Used in cancer of the rectum, womb, or bladder. 

External Use of Narcotics. 

391. Mixture of the Extract of Belladonna. 

R. Extracti Belladonnas, 

Glycerinae, aa 3j. 
Tere simul. 

Used for dilating the pupil in cataract, by rubbing around 
the eyebrow and on the temples. 

392. Solution of Atropia. 

R. Atropiae gr. ij ; 

Acidi Acetici gtt. yj ; 

Aquae destillatas f§j. 
Fiat solutio. 
Signa. — Let a drop or two fall into the eye to dilate the pupil. 

This is equally efficacious in its action, and more elegant 
than the ordinary preparations of belladonna. It is also much 
more prompt, a healthy iris being acted upon in ten to twenty 
minutes. W. W. Cooper. 

Three minims of this solution, containing one-eightieth of a 
grain of atropia, may be considered equivalent in activity to 
one-third of a grain of the extract, or fifteen drops of the tinc- 
ture of belladonna, for internal administration. R. P. T. 



152 NARCOTICS. 

[393. Solution of Sulphate of Atropia.] 

R. Atropine Sulphatis gr. i-ij ; 

Aquae destillatae fsj. 
Fiat solutio. 
Signa. — Apply one or two drops to the eye. 

For the relief of irritation of the conjunctiva or cornea, the 
weaker solution will answer; for active and prompt dilatation 
of the pupil, the stronger. This formula is preferable to those 
in which the alkaloid is extemporaneously dissolved in acetic 
or other acid, the latter form being often irritating and painful, 
whereas the solution of the salt is not. 

[394. Solution of the Extract of Calabar Bean.'] 

R. Extracti Physostigmae Alcoholici gr. j ; 

Aquae destillatae f'5j. 
Fiat solutio. 

Used as an application to the conjunctiva for its remark- 
able effect in contracting the pupil when dilated abnormally, 
whether from previous use of belladonna or otherwise. To 
be applied with a camel's-hair brush. T. Gr. Mop.tox. 

395. Mixture of Opnum. Lime-water^ etc. 

R. Extracti Opii gr. j ; 

Liquoris Calcis, 

Olei Amygdalae Dulcis, aa f5Hj. 
Fiat mistura. 

Eecommended by Dr. Sibergundi, of Dorsten, in the treat- 
ment of sore nipples. It is to be applied on dossils of lint. 

396. Dental Anaesthetic. 

R. Tincturae Aconiti Eadicis, 

Chloroformi purificati, 

Alcoholis, aa Oj ; 

Morphiae gr. vj. 
Misce. 

Signa. — Moisten two pledgets of cotton with the liquid, and 
apply to the gums for a minute or two, around the tooth. 

Employed to diminish the pain of extraction of teeth, and 
to deaden sensibility in the gums. Teft. 

To be used with caution on account of the aconite. 



NAKCOTICS. 153 

397. Decoction of Stramonium in Milk. 

R. Stramonii Folii 3ij ; 
Lactis recentis Ojss. 
Coque ad Oj. 

Employed for gouty, rheumatic, and other painful swellings, 
by applying both the boiled leaves and the milk to the affected 
part. 

398. Sedative Application. 

R. Extracti Belladonnas, 5jss ; 

Tincturse Opii r^xl. 
Tere simul, et adde — 

Chloroformi Yenalis 5j- 
Misce. 
Signa. — For local application. 

A portion of this mixture is to be smeared over the seat of 
pain in neuralgia, or other local painful affections. 

DlDAY. 

399. Lotion of Atropia. 
R. Atropise gr. vj ; 

Acidi Acetici gtt. x ; 
Grlycerinse f3iij- 
Misce. 

Forty or fifty drops are to be applied by friction over the 
track of the nerve, three times daily, in facial neuralgia. 

400. Anodyne Plaster. 

R. Emplastri Plumbi 3ij ; 

Liquefac lento igne, et adde gradatim — 

Pulveris Opii, 

Pulveris Camphorae, aa Jss. 
Fiat emplastrum. 

Used for enlarged joints, rheumatism, and local pains. The 
officinal "Emplastrum Opii" is employed for the same pur- 
poses. 

401. Plaster of Opium and Camphor. 

R. Pulveris Opii 9ij ; 
Camphoras 3ss ; 
Picis Burgundicae 3j ; 
Emplastri Plumbi q. s. ut flat emplastrum ivxvj. 

This plaster is highly recommended in neuralgia. 

Gkaves. 



154 NARCOTICS. 

402. Plaster of Opium and Belladonna. 

R. Extracti Opii gr. xv; 
Extracti Belladonnas 3j ; 
Glycerines tt^xx vel q. s. 
Misce. 

Signa. — Spread on adhesive plaster 3x4 inches, leaving an 
adhesive margin all ronnd. 

This is an excellent application to the face for toothache, 
or to other parts for the relief of neuralgia. 

403. Liniment of Belladonna, Bitter Almond Water, etc. 

R. Extracti Belladonnas 9ij ; 

Aquas Amygdalae Arnaras f^ij. 
Tere simul, dein adde — 

^Etheris fgj. 
Misce. 

Signa. — Eub the liniment on the affected part, and apply a 
flannel moistened with it, the whole to be covered with a 
piece of oiled silk. 

Useful in neuralgia, in gouty and rheumatic pains, and for 
gathered breasts. Eakque. 

404. Camphor and Chloroform Liniment. 

R. Camphorae 3jss; 

Chloroformi Yenalis 3ij ; 

Olei Olivae §ij. 
Fiat linimentum. 



Useful in rheumatic and neuralgic affections. 



W. B. Price. 

405. Chloroform and Soap Liniment. 

R. Linimenti Saponis f^ij ; 

Chloroformi Yenalis f3j. 
Misce. 

Employed like the preceding in rheumatic pains. The 
quantity of chloroform may be advantageously increased. 

Tuson. 



NAECOTICS. 155 

406. Compound Chloroform and Aconite Liniment. 

R. Olei Eicini 3ij ; 

Chloroformi Venalis, 

Spiritus Ammonias, 

Tincturae Aconiti Eadicis, aa f 3ij ; 

Linimenti Saponis f^j. 
Misce. 

Employed in rheumatic pains, bruises, etc. 

W. Peocter, Je. 



CLASS XII 



ANTISPASMODICS. 

Antispasmodics are those medicines which allay spasm, 
and compose the irregular actions of the nervous system. 
Some of the most powerful of them are derived from the 
class of Narcotics. 

Pills, etc. 

407. Pills of Assafetida and Soap. 

B. Assafcetidse 3j ; 

Saponis gr. x. 
Contunde in massam, et fiant pilulae xx. 
Signa. — Two of these pills may be taken for a dose. 

Used in hysteria, and as a mild laxative. 

408. Pills of Castor and Succinic Acid. 

R. Castor ei 3j; 

Acidi Succinici 5ss; 

Extracti Gentianae q. s. ut fiant pilulae xxiv. 
Signa. — Dose, three pills night and morning. 

In hysteria. 

409. Pills of Musk, Camphor, &c. 

R. Moschi 9ss; ' 

Camphorae 9j ; 

Ammoniaci 9ij ; 

Opii gr. iv. 
Misce, et fiant pilulae singulae gr. iv pendentes. 
Signa. — One pill to be given every three hours. 

In nervous diseases. M. A. Richaeds. 



ANTISPASMODICS. 157 

410. Pills of Valerianate of Zinc. 

R. Zinci Valerianatis gr. xij ; 

Confectionis Kosae q. s. ut fiat massa in pilulas xij divi- 
denda. 
Signa. — Give one pill every three hours. 

Used in neuralgia, epilepsy, and anomalous nervous affec- 
tions. 

Mixtures, Etc. 

411. Mush Mixture. 

R. Moschi optimi 3ij ; 

Sacchari 5j ; 

Pulveris Acaciae 3j ; 

Aquae destillatae f3vj. 
Fiat mistura et adde — 

Tincturae Opii Camphoratae f Iss ; 

Tincturae Valerianae Ammoniatae f 3j- 
Misce. 
Signa. — A teaspoonful three or four times a day. 

For children in pertussis. 

412. Mixture of Sumbul and Valerian. 

R. Tincturae Sumbuli (Bad. Sumb. oij ad Alcoholis Oj), 

Tincturae Valerianae, aa fsj. 
Misce. 

Signa. — Dose, a teaspoonful every two hours, in sweetened 
water. 

The sumbul, or musk-root of Asia, has attracted some at- 
tention in Europe as a mild stimulant, suited to the low forms 
of fever, controlling the nervous symptoms that arise during 
convalescence from fevers. It has been prescribed also for 
the relief of cramps, spasms, and hysteria. Granville. 

418. Mixture of Assafetida, Castor, and Ammonia. 

R. Tincturae Assafoetidae, 

Tincturae Castor ei, aa f £j ; 

Spiritds Ammoniae Aromatici f 3j. 
Misce. 

Signa. — A teaspoonful may be taken in a glass of sweetened 
water for a dose. 



158 ANTISPASMODICS. 

414. Hoffman's Anodyne and Laudanum. 

R. Spiritus JEtheris Compositi f3iij ; 

Tincturae Opii gtt. lxxx ; 

Aquas Cinnamomi f svj. 
Fiat mistura. 
Signa. — A tablespoonful every two hours. 

Given in hysteria, and to quiet restlessness and morbid 
vigilance. 

415. Mixture of Assafetida, Valerian, and Castor. 

R. Assafoetidas 3j ; 

Aquas Menthae Piperitae fliij. 
Fiat mistura, et adde — 

Tincturae Valerianae Ammoniatae f 3ij ; 

Tincturae Castorei f 3iij ; 

^Etheris f 3j. 
Signa. — A tablespoonful for a dose, largely diluted, every 
second hour. 

In hysteria. 

416. Mixture of Nitric Acid. ' 

R. Acidi Mtrici "ixxxij ; 

Syrupi f ^iijss ; 

Tincturae Cardamomi Compositas fiiss. 
Misce. 
Signa. — Dose, half a teaspoonful every three hours. 

Prescribed in pertussis, the quantity to be augmented in 
proportion to the age of the patient, and the severity of the 
paroxysms. H. Holmes. 

417. Mixture of Cimicifuga. 

R. Extract! Cimicifugas Fluidi, 

Syrupi ACaciae, aa f£ss ; 

Aquae Amygdalae Amarae f^iij. 
Misce. 
Signa. — A teaspoonful every three hours. 

Black snakeroot is a remedy of much value in the treatment 
of diseases of the nervous system, and especially in chorea and 
hooping-cough. 



ANTISPASMODICS. 159 

418. Assafetida Enema. 

R. Tincture Assafoetidse f 5ij ; 

Mucilaginis Ulmi f3vj. 
Misce pro enemate. 

Administered in hysteria, spasmodic colic, etc. A third, or 
even one-half of this quantity may be safely and beneficially 
given to a young child in convulsions. 



CLASS XIII. 



SIALAGOGUES. 

Those medicines which increase the salivary secretion are 
denominated Sialagogues. In forming these into a class in 
this place, we trespass on the arrangement of Dr. Chapman, 
but merely from a motive of convenience ; for we agree with 
him that such a class would be better expunged from the 
Materia Medica, at the same time that it appears necessary 
to introduce it here, in order to place the mercurial prepara- 
tions in stronger relief than could otherwise be done. 

419. Powders of Calomel. 

R. Hydrargyri Chloridi Mitis gr. ij ; 

Sacchari lactis 9j. 
Terre simul et divide in pulveres viij. 
Signa. — Take one powder every two hours. 

When the practitioner wishes to obtain the alterative effects 
of mercury, it is better to administer very small doses, at short 
intervals. A larger quantity would probably act upon the 
liver, and secondarily, upon the bowels. 

420. Pills of Corrosive Sublimate, 

B. Hydrargyri Chloridi Corrosivi gr. vijss; 

Amyli 3j ; 

Syrupi Acacise q. s. ut fiant pilulae Ix. 
Signa. — Give one pill three times a day. 

Prescribed in constitutional syphilitic affections. 

Trousseau. 



SIALAGOGUES. 161 

421. Dupuytrerfs Antisypliilitic Pills. 

R. Hydrargyri Chloridi Corrosivi gr. ss; 
Extracti Cinchona gr. x ; 
Extracti Opii gr. ss. 
Fiant pi]ula3 ij. 

Signa. — The two pills may be taken, one in the morning, and 
the other at night ; "but as each contains a quarter of a grain 
of corrosive sublimate, their action must be Yery closely 
watched. 

M. Dupuytren was partial to these pills in the treatment of 
syphilis. He thought the opium and cinchona promoted and 
beneficially modified the action of the sublimate. 

422. Pills of Corrosive Sublimate and Hemlock. 

B. Hydrargyri Chloridi Corrosivi gr. vj; 

Extracti Conii 3j ; 

Pulveris Conii q. s. ut fiat massa, in pilulas xlviij dividenda. 
Signa.— Give one pill three times a day. 

Used in lues venerea. 

The effect of the mercurial preparations upon children is 
sometimes very serious and even fatal. So powerful upon 
them is the action of this medicine, that a profuse or even 
gentle salivation will sometimes produce mortification and de- 
struction of the jaw, cheek, and lip. This, however, does not 
often happen ; but to avoid it, the gums should be frequently 
and carefully examined. It is, nevertheless, a fact, that a 
disease precisely similar in all its features occasionally attacks 
children who are badly clothed and fed, though no mercury 
has been given to them. B. Ellis. 

423. Pills of Iodide of Mercury. 

B. Hydrargyri Iodidi Viridis gr. v; 

Confectionis Rosse q. s. ut fiant pilulse xxx. 

Signa. — Each pill will contain the sixth of a grain, which 
may be given three times a day. Double the quantity (two 
pills) is sometimes administered at first, but care should be 
taken not to push the remedy too far. 



11 



162 SIALAGOGUES. 

424. Compound Pills of Iodide of Mercury. 

R. Hydrargyri Iodidi Yiridis, 

Lactucarii, aa 3ss; 

Extracti Opii gr. ix ; 

Eesinse Gruaiaci 3j. 
Misce, et fiant pilulas xxxvj. 
Signa. — Take one pill three times daily. 

Highly recommended both in primary and secondary syphi- 
lis, the treatment being continued until mercurialization 
appears. Eicokd. 

425. Pills of Calomel, Camphor, and Opium. 

R. Hydrargyri Chloridi Mitis, 

Camphorse, aa 9j ; 

Pulveris Opii gr. x ; 

Syrupi q. s. ut fiant pilulss xx. 
Signa.- — One to be taken morning, noon, and night, when 
calomel by itself causes purging. B. Ellis. 

426. Pills of Blue Mass. 

R. Pilulas Hydrargyri 3ss. 

Divide in pilulas x. 

Signa. — One to be taken night and morning. 

When used as thus prescribed, blue -mass is one of our best 
alteratives in the treatment of syphilitic disease, and all other 
complaints where the mercurial impression is indicated. 

If eight or ten grains be taken at bedtime, one or two eva- 
cuations of the bowels will occur during the next day. 

427. Pills of the Red Oxide of Mercury. 

R. Hydrargyri Oxidi Eubri gr. j ; 

Pulveris Opii gr. j ; 

Olei Caryophylli gtt. ij. 
Fiant pilulae iij, 
Signa. — One pill every night for a week. 

In venereal cases. 

This preparation, in a stronger formula, was used and highly 
recommended by the celebrated John Hunter ; but from its 
harshness it is now generally superseded by milder medicines. 



SIALAGOGUES. 163 

428. Solution of Cyanide of Mercury. 

R. Hydrargyri Cyanidi gr. viij ; 
Aquas Oj. 

Fiat solutio. 

Signa. — A teaspoonful of the solution, containing one-six- 
teenth of a grain of the cyanuret, may be given morning, 
noon, and night, watching its effects. 

This is the Liquor Anti-syphilitique of Chaussier, who pre- 
fers it to corrosive sublimate, on account of its greater 
solubility and more speedy action. 

429. Powder of Mercury and Chalk with Ipecacuanha. 

E. Hydrargyri cum Creta 9j ; 
Pulveris Ipecacuanhas Bss. 
Fiant chartulas vj. 
Signa.—One night and morning in syrup. 

Commended by Dr. Paris, in dyspepsia, in which the biliary 
secretion is impaired. He prefers it under these circumstances 
to every other form of mercury. 

430. Masticatory of Pellitory and Mastich. 

R. Pulveris Pyrethri, 
Mastiches, aa 5j. 

Signa. — Let these be mixed together by a moderate applica- 
tion of heat ; then divide the mass into two equal parts. 
One of these lumps may be chewed at pleasure. 

Used in toothache and paralytic affections of the tongue. 

Walthee. 



CLASS XIV 



t o isr i c s. 

Toxics are those medicines which impart strength to the 
system, without subjecting it to any preternatural excitement 
during their operation. They stimulate, however, in a second- 
ary manner, by gradually increasing the force of the circula- 
tion, and by restoring the digestive and secretory functions to 
a more healthy state. Considerable perseverance is often 
necessary in giving any one of this class a fair trial; and 
when one fails, we may often resort with success to another. 
Much also may sometimes be gained by alternating them. 

It is a well-known fact that some medicines possessed of 
tonic properties, in small or ordinary doses, have the singular 
power, when administered more freely, of producing such 
changes in the economy as to render them applicable to the 
cure of intermittent disease. The numerous remedies of this 
class, and their varied modes of exhibition, render it advisa- 
ble, in a work of this kind, to have some mode of distinguish- 
ing them from ordinary tonics. For convenience of reference, 
therefore, two sub-classes have been made, viz., 1. Of Anti- 
Inter mittents, and 2. Of Ordinary Tonics. 



Sub-Class I.— ANTI-INTERMITTENTS. 

At the head of this class stand, confessedly, Peruvian Bark 
and its numerous preparations. 

Powders and Pills. 

431. Povjder of Peruvian Bark. 

R. Pulveris Cinchonas Rubras Ij. 

Signa. — A teaspoonful to be taken every hour in port wine, 
water, or milk, during the intermission of fever. 



TONICS. 165 

Some practitioners suspend the bark till within a few hours 
of the expected paroxysm; and others administer it during 
the hot stage of the disease. It is better to commence imme- 
diately after the paroxysm has ended, and give a dose every 
hour, until the expected period of its return; and to continue 
it in smaller quantities for several days. 

If the bark should purge when given alone, a little opium 
may be added ; when it oppresses the stomach, cloves, as in 
the next prescription ; if costiveness should follow, rhubarb, 
or sulphate of magnesia. 

432. Powder of Peruvian Bark, Cloves, and Cream of Tartar. 

R. Pulveris Cinchonas Eubrse, 

Potassse Bitartratis, aa Ij ; 

Pulveris Caryophylli 3j. 
Misce. 
Signa. — Dose, a teaspoonful in syrup every second hour. 

This compound will sometimes succeed in arresting mias- 
matic disease when the bark alone fails. 

433. Powder of Peruvian Bark, Virginia Snakeroot, and Soda. 

R. Pulveris Cinchonas ^ss: 

Pulveris Serpentarise 3j ; 

Sodas Bicarbonatis 9ij. 
Divide in chartulas iv. 
Signa. — One to be given every two hours. 

In obstinate intermittents. 

434. Powder of Prussian Blue and Guaiac. 

R. Ferri Ferrocyanidi, 

Pulveris Gruaiaci Kesinae, aa 5j. 
Misce, et divide in chartulas xij. 
Signa. — One three times a day. 

In obstinate intermittents. 

435. Pills of Sulphate of Quinia. 

R. Quinias Sulphatis gr. xx; 

Acidi Sulphurici Aromatici "ixv. 

" Drop the acid into the sulphate of quinia on a tile or 
slab, and triturate it with a bone spatula until it assumes a 
pilular consistence; then divide rapidly into the required 



166 topics. 

number of pills." Made in this way a three-grain pill is not 
inconveniently large. E. Paeeish. 

In prescribing quinia in the apyrexia of intermittents, and 
especially in that of neuralgia, it is often necessary to increase 
the dose beyond the officinal formula, which is one grain in 
each pill. For example, three, four, or five grains may be 
requisite in those cases in which the neuralgic paroxysms are 
violent, and the intermission short ; and this quantity must be 
repeated every two or three hours, or even every hour. The 
principal inconveniences arising from the free exhibition of 
quinia are a painful sense of fulness, noise, and dizziness of 
the head, constriction of the chest, and purging. The latter 
may be checked by accompanying each pill with a few drops 
of laudanum, or by a tablespoonful of the simple aqueous 
infusion of camphor. If the affection of the head or chest 
becomes severe, the medicine must be suspended or diminished 
in quantity. 

436. Pills of Quinia, Opium, and Black Pepper. 

R. Quinige Sulphatis gr. xx; 

Pulveris Opii gr. ij ; 

Oleoresinse Piperis Rv; 

Syrupi Acacias q. s. ut flat massa in pilulas xx dividenda. 
Signa. — Give two pills every hour in the morning of an ex- 
pected chill. 

In ordinary intermittents the sulphate of quinia retains the 
first rank for promptness and efficiency in arresting the par- 
oxysm ; but in chronic cases it frequently fails. In the treat- 
ment of the latter, the present prescription will prove an 
excellent agent. 

437. Powders of Sulphate of Quinia and Tartar Emetic. 

B. Quinige Sulphatis gr. x; 

Antimonii et Potassas Tartratis gr. iij. 
Misce, et divide in partes yj aequales. 
Signa. — Grive one powder every two hours. 

This preparation is commended as having been successful 
in intermittent fever, when quinia alone produced no favor- 
able result. It causes vomiting and purging, and prevents 
the recurrence of the paroxysm. It should be given during 
the intermission. Gola. 



TONICS. 167 

438. Pills of Sulphate of Quinia and Carbonate of Ammonia. 

R. Quinias Sulphatis gr. xij ; 

Ammonias Carbonatis gr. xxiv ; 

Syrupi Acacias q. s. 
Fiant pilulas xij. 

Signa. — One every hour, beginning six hours before the ex- 
pected paroxysm. 

These pills are large, but they will act when quinia alone 
proves unavailing. 

439. Pills of Chinoidine. 

R. Chinoidini 9ij ; 

Extracti Grentianas gr. x. 
Tere simul, et fiant pilulas xl. 
Signa. — Take two pills every three hours. 

Dr. Gremmil has tried chinoidine for two or three years, 
and has found it an effectual substitute for quinia. He gives 
two grains every three hours during the intermission, until 
twelve to sixteen pills are taken, and on the sixth, thirteenth, 
and twentieth days, eight or ten pills in the same way. 

J. M. GrEMMILL. 

440. Pills of Sulphate of Cinchonia. 

R. .Cinchonias Sulphatis 3ss ; 
Pulveris Acacias gr. x ; 
Acidi Sulphurici Aromatici ^Lx. 

Fiat massa, et divide in pilulas xx. 

Signa. — Take two pills every hour in the apyrexia of inter- 
mittent fever, until eight are taken. 

Experiments made in several public institutions of Phila- 
delphia prove the sulphate of cinchonia to be an efficient sub- 
stitute for quinia, in a somewhat larger dose. 

441. Pills of Sulphate of Quinidia. 

R. Quinidias Sulphatis 3j ; 

Pulveris Acacias gr. xij ; 

Mellis q. s. ut fiat massa in pilulas lx dividenda. 
Signa. — Take two pills every hour, until eight are taken. 

Used in intermittent disease in the same way as the sul- 
phate of quinia. There seems to be little difference in the 
strength and effect of the two salts. 



168 toxics. 

442. Po wde rs of Sa lie ine. 

R. Salicini gr. xxiv ; 

Sacchari 9iv. 
Misce, et divide in partes viij asquales. 
Signa. — A powder to be taken three times a day. 

Salicine possesses decided anti-intermittent powers. It has 
to be used, however, in doses double or treble those of the 
sulphate of quinia. Keombholz. 

443. Pills of Arsenic and Opium. 

R. Acidi Arseniosi gr. j ; 

Pulveris Opii gr. iv; 

Saponis gr. xj. 
Fiat massa, et divide in pilulas xvj. 

Signa. — Give one pill three times a day, and increase gradu- 
ally, according to circumstances, watching the effect. 

In intermittent fever, and local diseases of an intermittent 
character. Marcus. 

444. Pills of Sulphate of Copper and Extract of Bar J:. 

R. Cupri Sulphatis gr. iv; 

Extracti Cinchonas gr. xxxij ; 

Syrupi q. s. ut flat massa, in pilulas xvj dividenda. 

Signa. — One to be taken three times a day. 

In obstinate intermittents. Chapmax. 

445. Pills of Sulphate of Copper and Opium. 

R. Cupri Sulphatis gr. iij ; 

Pulveris Opii gr. iv ; 

Syrupi Acacias q. s. ut flat massa, in pilulas xij dividenda. 
Signa. — Give one pill every three hours in obstinate intermit- 
tents. 

This combination is sometimes serviceable, when quinia 
fails. Chap^iax. 

446. Pills of Sulphate of Bebeerine. 

R. Bebeerinas Sulphatis 5j; 

Pulveris Acacias gr. xv; 

Mellis q. s. 
Fiat massa, et divide in pilulas xxx. 
Signa. — Give one pill every two hours. 



TONICS. 169 

This article has attracted attention in Edinburgh and Paris, 
and the experiments, thus far reported, warrant a more ex- 
tended trial of its powers, in intermittent diseases, such as 
periodical headache and neuralgic affections. 

Decoctions, Solutions, and Mixtures. 

447. Decoction of Cinchona. 

R. Cinchonae Kubras contusae ^j ; 

Aquae bullientis Oj. 
Coque per sextam horae partem, et adde — 

Serpentariae 3ss; 

Aurantii Corticis 3ij- 
Macera per horam dimidiam in vase leviter clauso et cola. 
Signa, — Dose, a wineglassful. 

If the bark is boiled longer than ten minutes, it deposits 
extractive and resinous matter, becomes paler, and is less effi- 
cient. The last ingredients are directed to be infused, because 
their aromatic properties would be dissipated by decoction. 

448. Peruvian Bark Mixture. 

R. Decocti Cinchonas Eubrae f Zvj ; 

Tincturae Cinchonae Compositae f ^j ; 

Acidi Sulphurici Aromatici ^ix. 
Misce. 
Signa. — A tablespoonful may be taken every two hours. 

Used in obstinate intermittents. 

449. Solution of the Sulphate of Quinia. 

R. Quiniae Sulphatis gr. viij ; 

Acidi Sulphurici Aromatici gtt. x ; 

Aquae foj. 
Fiat solutio. 

A teaspoonful contains one grain of the salt. The strength 
of this solution can be increased by adding three drops of 
elixir of vitriol for every two grains of the salt. 

450. Mixture of Sulphate of Quinia. 

R. Quiniae Sulphatis gr. xx; 

Acidi Sulphurici Diluti n^xx ; 

Sacchari 3ij ; 

Aquae Cinnamomi f^ijss. 
Misce. 

Signa. — A teaspoonful for a dose, every hour during the apy- 
rexia of intermittents. 



170 TONICS. 

By the addition of sulphuric acid, a super-sulphate of quinia 
is formed, which is soluble in the aqueous menstruum. 

[451. Another, for Children^ 

R. QuiniaB Sulphatis gr. vj ; 

Syrupi Acacias, 

Aquae Cinnamomi, aa f3yj. 
Misce. 

Signa. — Shake well before using. Give a teaspoonful for a 
dose. 

This combination has the advantage of the taste being less 
developed, the salt being only in suspension and not •in solu- 
tion, each dose containing half a grain. 

452. Sulphate of Quinia in Syrup. 

R. Quinias Sulphatis gr. xvj ; 

Syrupi Zingiberis £Jij, 
Misce. 

Signa. — A teaspoonful to be given every hour during the 
apyrexia. 

The French physicians employ a wine and tincture of quinia, 
which, however, are not superior to the compound used in this 
country. Both in Europe and America, and especially in Italy, 
the dose is carried to a much greater extent than we have 
directed. Eight, ten, fifteen, twenty, and even thirty grains 
have been given by the Italians, without manifest injury and 
with successful results. Such doses, however, are seldom ad- 
missible in this country ; and a cure can generally be accom- 
plished by giving sixteen or twenty grains in twenty-four 
hours, repeated in half doses for three or four successive days. 

S. G. Morton. 

453. Mixture of Ferrocyanate of Quinia. 

R. Quiniee Ferrocyanatis gr. iv; 

Alcoholis f3j. 
Solve et adde — 

Aquas Camphorae f3vij. 
Misce. 

This preparation is said to be more active than the sul- 
phate, whence it should be given in less doses ; a teaspoonful 
of the solution (which will contain half a grain of the salt) 
may be taken every hour or two hours, according to circum- 
stances. Pills of the ferrocyanate of quinia are prepared 
with simple mucilage, and administered like the sulphate. 



TONICS. 171 

454:. Mixture of Sulphate of Quinia and Tartaric Acid's 

R. Quinige Sulphatis gr. vj; 
Acidi Tartarici gr. iij ; 
. Syrupi flj. 
Misce. 
Signa. — Dose, a teaspoonful. 

The advantages of this preparation are increased solubility 
and diminished bitterness of the quinine salt. Casorati. 

455. Mixture of Sulphate of Quinidia and Tannic Acid. 

R. Quinidiae Sulphatis gr. xvj ; 

Acidi Sulphurici Aromatici ^Ixyj ; 

Aquas fljss; 

Acidi Tannici gr. iv ; 

Syrupi Aurantii Corticis flss. 
Fiat mistura. 
Signa. — A dessert-spoonful every three hours. 

From experiments made in the Pennsylvania Hospital and 
other public institutions, the sulphate of quinidia has been 
found as active as the corresponding salt of quinia, and may 
be substituted for it in most cases, without disadvantage. 

456. Mixture of Sulphate of Cinchonia and Iron. 

R. Cinchonige Sulphatis gr. xxxij ; 

Tincturge Ferri Chloridi f^ss; 

Aquas fjiijss,, 
Misce. 
Signa. — A teaspoonful every three hours in sweetened water. 

This mixture has been prescribed with great benefit at the 
Philadelphia Dispensary in cases of intermittent fever attended 
with anaemia. . Gr. Martin". 

Prepared with syrup instead of water, the taste is much 
less nauseous, and also less persistent. 

457. Mixture of Tincture of Bark and Citrate of Potassa. 

R. Succi Limonis f Ijss : 

Potassae Carbonatis 5j ; 

Tincturge Cinchonas f 3j ; 

Aquae Cinnamomi f Jiij, 
Misce. 
Signa. — A tablespoonful every two hours. 

Used to promote insensible perspiration while taking the 
bark. B. Ellis. 



172 toxics. 

458. Mixture of Fluid Extract of Bark and Cardamom. 

R. Extracti Cinchonas Fluidi f 3j ; 

Tincturse Cardamomi Composite f 51J ; 

Syrupi Zingiberis f Jj. 
Misce. 
Signa. — A dessert-spoonful for a dose. 

Used both, as a tonic, and as an anti-intermittent remedy. 

459. Mixture of Fowler's Solution and Elixir of Opium. 

R. Liquoris Potassas Arsenitis f 3j ; 
Tincture Opii Deodoratge "Ixxx; 
Aquas Cinnamomi f^iv. 
Fiat mistura. 

Signa. — A tablespoonful for an adult, a teaspoonful for a 
child ; to be administered every two or three hours, during 
the apyrexia of intermittents, watching the effect. 

460. Enema of Quinia and Morphia. 

R. Quinias Sulphatis gr. xv; 

Morphias Sulphatis gr. J; 

Mucilaginis Amyli f sij. 
Misce pro enemate. 

When administered in this way, quinia exerts an imme- 
diate and powerful effect on miasmatic diseases. It is par- 
ticularly indicated in cases of intermittent or remittent fever, 
attended with irritability of the stomach. 

[461. Solution of Quinia for Hypodermic Injection^] 

R. Quinias Sulphatis 3j ; 

Acidi Sulphurici diluti f 3ss ; 

Aquas destillatae f5vijss. 
Fiat solutio. 

Thirty minims of this solution, containing 3 J grains, in- 
jected beneath the skin, will give the effects of about 7 J 
grains by the mouth, and may be repeated as required with- 
out danger from nausea, or the inconvenience resulting from 
the possible ejection when given in the ordinary way. (See 
the section on Hypodermic Injection.) 



TONICS. 173 

Sub-Class IL— ORDINARY TONICS. 

Powders and Pills. 

462. Powders of Columbo, Ginger, etc. 

R. Pulveris Calumba3, 

Ferri Subcarbonatis, 

Pulveris Rhei, 

Pulveris Zingiberis, aa 3j- 
Misce, et fiant pulveres xij. 
Signa. — One to be taken three times a day, in molasses. 

Used in dyspepsia, angemia, and chlorosis. 

463. Powders of Iron reduced by Hydrogen. 

R. Ferri Redacti 3ss; 

Sacchari 3j- 
Misce, et divide in pulveres xij. 

Signa. — Take one powder three times a day in syrup or 
molasses. 

This has been much used in angemia and chlorosis. It is 
one of the best preparations of iron. 

464. Powders of Ipecacuanha, Iron, and Mercury. 

R. Ferri Subcarbonatis gr. xlviij; 

Pulveris Ipecacuanhse gr. vj ; 

Hydrargyri cum Creta gr. xij. 
Misce, et divide in pulveres vj. 
Signa. — Take one powder twice a day. 

Used with decidedly good effect in chlorosis. 

S. Ashwell, 

465. Powder of Columbo and Potassio-tartrate of Iron, 

R. Ferri et Potassse Tartratis 9ij ; 

Pulveris Calumbse 3ss. 
Fiant pulveres iv. 
Signa. — One every three or four hours, in syrup. 

An excellent tonic, used in dyspepsia and chlorosis. 



174 TOXICS. 

4:66. Powders of Subnitrate of Bismuth. 

R. Bismuthi Subnitratis 5ss; 

Sacchari 3j. 
Misce, et divide in pulveres x. 
Signa. — Give one powder three times daily. 

Used in gastrodynia, chronic vomiting, and chronic diar- 
rhoea. Kecamier. 

[467. Powder of Bismuth and Iron.] 

R. Ferri Eedacti gr. vj ; 

Bismnthi Subnitratis gr. xxiv. 
Misce, et divide in chartulas xij. 
Signa. — One powder every three or four hours. 

In the atonic diarrhoea of tuberculosis, or following cholera 

infantum. 

468. Pills of YalMs Mass. 

R, Pilulae Ferri Carbonatis 3j ; 

Ferri Subcarbonatis q. -s. ut fiant pilulae. xx. 
Signa. — A pill to be taken morning, noon, and night. 

This is one of the best of the chalybeate preparations, and 
may be used whenever it is desirable to introduce iron into 
the system. 

469. Pills of Lactate of Iron, 

R. Ferri Lactatis 3j ; 

Extracti Grlycyrrhizae 3ss; 

Mellis q. s. ut flat massa in pilulas xl divideuda, 
Signa. — Take one pill three times daily. 

Used in dyspepsia, anaemia, chlorosis, etc, 

This salt is well suited to the diseases of childhood, as its 
taste is not unpleasant, and it can be administered in the form 
of a syrup. Trousseau. 

470. Pills of Ammoniated Copper. 

R. Cupri Ammoniati 9j ; 

Confectionis Kosae q. s. ut fiant pilulae xl. 
Signa. — One to be taken morning and evening. 

Prescribed in epilepsy. 



TONICS. 175 

471. Pills of Iron and Strychnia. 

R. Strychniae gr. j ; 

Ferri Eedacti gr. xxx ; 

Mucilaginis Tragacanthas, q. s. ut fiat massa in pilulas xxx 
dividenda. 
Signa. — One pill three times daily. 

This is an efficient combination, serviceable in the treat- 
ment of chlorosis and dyspepsia. 

472. Pills of Extract of Ignatia, Aloes, and Opium. 

R. Extracti Ignatise Alcoholici gr. viij ; 

Pulveris Aloes purificatae gr. vj ; 

Pulveris Opii gr. ij ; 

Mucilaginis Acacias q. s. ut fiat massa in pilulas xxiv 

. dividenda. 
Signa. — One pill three times daily. 

Eecommended in dyspepsia. 

If attended with constipation, the opium can be omitted. 

E. P. Thomas. 

473. Compound Pills of Ammoniated Iron. 

R. Ferri Ammoniati, 

Gralbani, aa 3j ; 

Assafcetidae 3ij ; 

Castorei 9j ; 

Tincturae Valerianae q. s. 
Contunde in massam, et divide in pilulas singulas gr. iij pen- 

dentes. 
Signa. — Let two pills be given night and morning. 

Used successfully in a variety of chronic nervous diseases, 
hysteria, and anomalous nervous symptoms. Berends. 

474. Pills of Citrate of Iron and Quinia. 

R. Ferri et Quinise Citratis 3ss; 

Pulveris Acaciee gr. x ; 

Mellis despumati q. s. 
Fiat massa et divide in pilulas xx. 
Signa. — Take one pill every four hours. 

This preparation has been much employed in hemicrania, 
chlorosis, and anaemia. It is one of the most valuable tonics. 



176 TONICS. 

475. Pills of Sulphate of Iron and Quinia. 

R. Quinias Sulphatis gr. xij ; 

Ferri Sulphatis exsiccatae gr. xxiy ; 

Pulveris Opii gr. iij ; 

Syrupi q. s. 
Misce, et flant pilulae xij. 
Signa. — Take two pills three times daily. 

Used in chlorosis and anasmia. Kiekby. 

476. Pills of Valleys Mass and Quinia. 

R. Pilulas Ferri Carbonatis 3ss ; ■ 

Quiniae Sulphatis gr. x. 
Fiat raassa, et divide in pilulas xv. 
Signa. — One pill every four hours. 

Given in hemicrania, and as a tonic in anasmia. 

Thomas. 

[477. Bretonneau 's Iron Pill] 

R. Ferri Eedacti gr. cxxv; 

Quinias Sulphatis gr. vijss ; 

Extracti Cinchonas gr. xxviij ; 

Pulveris Zingiberis gr. vij ; 

Extracti Khei Compositi gr. xxviij ; 

Aloe's Socotrinas gr. iv ; 

Syrupi q. s. 
Misce, et divide in pilulas 1. 
Signa, — Take three or four pills daily. 

In anaemia with constipation. 

[478. Pills of Podophyllin, Aloes, and Iron.] 

R. Podophyllin gr. iij ; 

Aloe's Socotrinas, 

Extracti Nucis Vomicae, aa gr. xv ; 

Ferri Sulphatis Exsiccati gr. xlv; 

Olei Caryophyllas gtt. x ; 

Syrupi Acacias q. s. 
Misce, et divide in pilulas xxx. 
Signa. — Take one pill immediately before each meal. 

An efficient tonic laxative pill, in indigestion with costive- 
ness. 



TONICS. 177 

479. Pills of Iron, Bed Pepper, &c, 

R. Pulveris Aloes Socotrinas, 

Ferri Sulphatis exsiccatas, aa dj ; 

Mastiches gr. x ; 

Pulveris Capsici dj ; 

Syrupi q. s. 
Fiat massa in pilulas xx dividenda. 
Signa. — Take one pill every four hours. 

In chlorosis. Copland. 

480. Mitchell's Tonic Pills. 

R. Extracti Quassias 3ij ; 

Extracti Conii gr. x ; 

Ferri Subcarbonatis gr. x ; 

Liquoris Potassas Arsenitis gtt. x. 
Fiat massa in pilulas xl dividenda. 
Signa. — Take one pill three times daily. 

Used in dyspepsia. J. K. Mitchell. 

481. Pills of Nitrate of Silver. 

R. Argenti Mtratis gr. iv; 

Avenas Farinas gr. iv ; 

Syrupi q. s. 
Fiat massa, et divide in pilulas xij. 
Signa. — Take one pill every three hours. 

Given in epilepsy, gastrodynia, chronic gastritis, and obsti* 
nate vomiting. 

482. Compound Pills of Nitrate of Silver. 

R. Argenti Nitratis gr. v ; 

Pulveris Opii 9ss ; 

Pulveris Camphorse, 

Pulveris Myristicas, aa Bj ; 

Mucilaginis Acacias q. s. ut fiat massa, et divide in pilu- 
las xx. 
Signa. — Dose, a pill morning and evening. 

In chorea and epilepsy. 
12 



178 TONICS. 

483. Pills of Iodide of Potassium and Manganese. 

R. Potassii Iodidi, 

Manganesii Sulphatis exsiccatse, aa 3j ; 

Mellis q. s. 
Fiat massa in pilulas xxx dividenda. 

Signa. — To be kept in a well- stopped bottle. Take one pill 
morning and night. 

The salts of manganese have recently been introduced as 
substitutes for the corresponding preparations of iron. 

Hannon. 

484. Pills of Iron and Gentian. 

R. Ferri Eedacti 9j ; 

Extracti Grentianas 9ij. 
Fiat massa et divide in pilulas xx. 
Signa. — Take one pill three times a day. 

An excellent combination for ansemic conditions of the 
system. 

485. Pills of the Sulphate of Iron and Quassia. 

R. Ferri Sulphatis 3j; 

Extracti Quassias 3j- 
Fiat massa et divide in pilulas xl. 
Signa. — One to be taken morning, noon, and night. 

In dyspepsia, etc. 

486. Pills of Oxide of Zinc. 

R. Zinci Oxidi 9ij ; 

Confectionis Kosse q. s. ut riant pilulse x. 
Signa. — One three or four times a day. 

In epilepsy, chorea, etc. 

Dr. Chapman speaks favorably of this medicine, and recom- 
mends us to begin with the above dose, and gradually to 
increase it. 

487. Pills of Lactate of Zinc. 

R. Zinci Lactatis gr. xxx ; 

Syrupi Acacise q. s. ut flat massa in pilulas xx dividenda. 
Signa. — Take one pill three times daily. 

Lactate of zinc has recently been introduced as an efficient 
agent in the treatment of diseases of the nervous system. It 
is particularly recommended in epilepsy. Hekpin. 



tonics. 179 

488. Electuary of Cinchona, Bust of Iron, etc. 

R. Pulveris Cinchonas Kubras, 

Ferri Subcarbonatis, aa 3j ; 

Mellis q. s. ut fiat electuarium. 
Signa. — To be made into pills of the ordinary size, of which 
four may be taken three times a day. 

489. Pills of the Oxide of Silver. 

R. Argenti Oxidi gr. vj; 

Pulveris Acacias gr. vj ; 

Aquas q. s. ut fiat massa in pilulas xij dividenda. 
Signa. — Take one pill three times daily. 

Used with much success in pyrosis. Also highly recom- 
mended in menorrhagia. B. Lane. 

[490. Pills of Pepsin and Aloes.'] 

R. Pepsinas Porci gr. xxxij; 

Ext. Aloe's Barbadensis gr. viij ; 

Glycerinas q. s. 
Fiat massa, et divide in pilulas viij. 
Signa. — Take one every day at dinner. 

Useful in indigestion with costiveness. Tanner. 

[491. Pills of Arsenic, Nux Vomica, and Iron .] 

R. Acidi Arseniosi gr. j ; 

Podophyllin gr. iij ; 

Extracti Nucis Yomicas gr. xv ; 

Ferri redacti gr. xlv ; 

Olei Caryophylli gtt. x; 

Syrupi Acacias q. s. 
Misce, et divide in pilulas xxx. 
Signa. — Take one pill after each meal. 

In anemia, with hepatic torpor and asthenia. 

[492. Pills of Strychnia and Bismuth."] 

R. Strychnias gr. j; 

Bismuthi Subnitratis 3jss; 

Syrupi Acacias q. s. 
Misce, et divide in pilulas xx. 
Signa. — One before each meal. 

In dyspepsia with pyrosis and nausea. 



180 TONICS. 

Infusions and Decoctions. 

493. Infusion of Sage, Boneset, and Cascarilla. 

R. Salvias, 

Eupatorii, aa 3ss; 

Cascarillas 3j ; 

Aquas bullientis Oj. 
Digere per horas duas et cola. 
Signa. — Dose, a wineglassful every three or four hours. 

Used in hectic fever. 

494. Infusion of Columbo and Ginger. 

R. Calumbas contusas Ij ; 

Zingiberis contusas 5ij ; 

Aquas bullientis Oj. 
Fiat infusum et cola. 
Signa. — Give a wineglassful every two hours. 

This infusion, freely used, is adapted to chronic diarrhoea. 

495. Infusion of Columbo, Rhubarb, etc. 

R. Cari, 

Calumbae contusas, 

Ehei contusi, aa 9j ; 

Aquas ferventis f Jiv. 
Digere per horas duas, cola, et adde — 

Tincturas Rhei f 3j ; 

Syrupi Zingiberis f3ij. 
Misce. 

Signa. — Dose, a teaspoonful to a tablespoonful for children, 
according to their age. 

In diarrhoea. 

496. Compound Infusion of Wild Cherry Bark. 

R. Pruni Yirginianas 3j ; 

Aurantii Corticis 3ij ; 

Aquas Oj. 
Macera per horas sex et cola. 

Signa. — A wineglassful may be taken every hour or two in 
consumptive cases, asthma, etc. 



TONICS. 181 

497. Compound Infusion of Virginia Snakeroot. 

R. Serpentarias, 

Contrayervas contuses, aa 3v; 

Aquas bullientis Oj. 
Digere per horas daas, cola, et adde — 

Tinctures Serpentarias f oij. 
Misce. 
Signa. — Dose, a tablespoonful. 

Used in the convalescence of typhoid fever and other dis- 
eases of an asthenic type. Guy's Hospital Phakm. 

498. Compound Infusion of Quassia. 

R. Quassias, 

Serpentarias, 

Aurantii Corticis, aa 3ss ; 

Aquas bullientis, Oij. 
Fiat infusum et cola. 
Signa. — A teacupful to be taken cold, three times a day. 

499. Infusion of Chamomile and Orange Peel. 

R. Anthemidis 3ss; 

Aurantii Amari Corticis 3ij ; 

Aquas Oj. 
Macera per horas decern et cola. 
Signa. — Dose, a wineglassful four times a day. 

The infusion of chamomile made with cold, is in general 
more grateful to the patient than when made with boiling 
water. The same remark applies to infusions generally, and 
they are also less liable to ferment. B. Ellis. 

500. Infusion of Hops. 
R. Humuli §j; 

Aquas ferventis Oj. 
Digere per horas duas et exprime. 

Signa. — A wineglassful may be taken three or four times a 
day. 

In dyspepsia. 

501. Compound Infusion of Gentian. 

R. Gentianas contusae 3ss; 

Aurantii Dulcis Corticis, 

Cardamomi, aa 3j ; 

Aquas bullientis Oj. 
Fiat infusum. 



182 toxics. 

Gentian is an excellent bitter. The above preparation is 
given in wineglassful doses, in debility of the digestive or- 
gans, &c. 

[502. Tonic Laxative Infusion.'] 

R. Gentianas contusas §j; 

Ehei Contusi 3ij ; 

Sodas Bicarbonatis 3jss; 

Zingiberis contusas 3ss. 
Misce. 

Signa. — Put into 1J pint of boiling water and boil to a pint, 
strain, and take a wineglassful at each meal. 

Very useful in dyspepsia with acidity and costiveness. 

503. Compound Decoction of Angustura Bark. 

R. Angusturas contusas Iss; 

Aquae fixij. 
Coque ad fsyj, et adde — 

Tincturas Cinnamomi f 3ij ; 

Syrupi Aurantii Corticis f^j. 
Misce. 
Signa. — Dose, a tablespoonful every three hours. 

This may be used in all cases in which a tonic and mild 
stimulant remedy is indicated. Berends. 

504. Decoction of Dogwood Baric. 

R. Cornus Floridas contusas §j; 
Aquas Oj. 

Coque per horam dimidiam, et cola. 

Signa. — A wineglassful may be given every hour as a substi- 
tute for Peruvian bark in intermittents, or as an ordinary 
tonic every two hours. 

505. Decoction of Peruvian Bark and Valerian. 

R. Cinchonas Kubras contusas Ij; 

Aquas Ojss. 
Coque per sextam horas partem, cola, et adjice — 

Valerianae contusas 3j. 
Macera per horam unam et cola. 
Signa. — Dose, a wineglassful four times daily. 

This was a favorite prescription with the late Dr. Joseph 
Parrish, in rheumatic and nervous headache and hemicrania. 



TONICS. 183 

506. Infusion of Acorns. 

R. Pulveris Glandis Quercus torrefactae §j; 

Aquae bullientis Oj. 
Fiat infusum. 

Signa. — Three or four teacupfuls may be taken during the 
day, and be augmented according to circumstances. 

The above is a favorite remedy with the Germans. "It is 
one of the most successful in mesenteric atrophy, commencing 
rachitis, glandular swellings, asthma, and cough. Continued 
for a long time, it is one of the most powerful means we pos- 
sess for destroying the scrofulous disposition." — Hufeland, 
Treatise on Scrofula, p. 215. 



Mixture s, Tinctures, etc. 

507. Griffith's Myrrh Mixture. 

R. Myrrhae £j ; 

Sacchari 3ij ; 

Potassae Carbonatis gr. xxv. 
Tere simul, et adde gradatim — 

Aquae Kosae f^vijss; 

Spiritiis Lavandulae f^ss. 
Dein adde — 

Ferri Sulphatis crystallizati, in pulverem contriti, 9j. 
Fiat mistura. 
Signa. — Dose, a tablespoonful every four hours. 

This preparation was formerly much used as a tonic in 
phthisis. 

508. Mixture containing Protoxide of Iron. 

R. Ferri Sulphatis 3j; 

Magnesiae gr. x; 

Sacchari 3j ; 

Aquae Cinnamomi f^viij. 
Misce. 
Signa. — Take a tablespoonful every three hours. 

An efficient tonic in phthisis. Donovan. 



18-i TONICS. 

509. Mixture of Ammonio- Tartrate of Iron. 

R. Ferri et Ammonia Tartratis 3ij; 

Syrupi Aurantii Corticis f ^ij ; 

Tincturae Cardamomi f^j ; 

Aquae f^v. 
Fiat mistura. 
Signa. — A dessert -spoonful every four hours. 

Used iu chlorosis and debility. The ammonio-tartrate is 
one of the most valuable of the ferruginous preparations. 
Its pleasant taste and ready solubility render it available in 
the treatment of the diseases of childhood. 

510. Mixture of Sulphate of Iron and Elixir of Vitriol. 

R. Ferri Sulphatis gr. iv; 

Acidi Sulphurici Aromatici r^xx ; 

Aquae destillatae f^j. 
Fiat mistura. 

Signa. — A teaspoonful to be taken three times a day in a 
wineglassful of water. 

511. Mixture of Sulphuric Acid. 

R. Acidi Sulphurici Diluti f^iv; 

Syrupi Aurantii Corticis f^jss ; 

Aquas Cinnamomi f 3j. 
Fiat mistura. 

Signa. — Take a teaspoonful three times a day in a wineglass- 
ful of water. 

Used in anaemia and debility. Sir James Clark. 

512. Mixture of Sulphuric and Nitric Acids. 

R. Acidi Sulphurici Diluti f5ij ; 

Acidi Nitrici Diluti f 3j ; 

Syrupi fgij ; 

Aquae Menthae Piperitae f^iv. 
Misce. 
Signa. — Take a dessert-spoonful in water every three hours. 

Dr. W. J. Anderson and several other English practitioners 
have found the acid treatment effectual in arresting the watery 
discharges in diarrhoea, cholera morbus, and cholera. In the 
last disease, the doses should be larger, and more frequently 
administered. 



tonics. 185 

513. Vinegar Draught. 

B. Aceti f Ij ; 

Tincture Cardamomi Composite, 

Syrupi, aa f 3ss ; 

Aquae f 5x. 
Misce. 
Signa. — To be taken in such portions as the stomach can bear. 

Used in sick headache. 

514. Wine of Gentian and Orange Peel. 

E. Pulveris Gentianae, 

Aurantii Corticis Dulcis, aa Iss ; 

Yini Portensis Oj. 
Macera per dies tres, et cola. 
Signa. — Give a wineglassful two or three times a day. 

In dyspepsia. 

515. Mixture of Cinchona, Valerian, etc. 

R. Tincturae Cinchonas, 

Tincturae Valeriana, aa f 3j ; 

Tincturae Cardamomi Composite f 3ij ; 

Aquas Menthae Piperitae f^iv. 
Fiat Mistura. 
Signa. — A tablespoonful may be given every third hour. 

This is especially designed as a tonic in nervous tempera- 
ments. 

516. Elixir of Aloes, Zedoary, Gentian, etc. 

B. Pulveris Aloe's Socotrinae j|j ; 

Pulveris Zedoariae, 

Pulveris Gentianae, 

Croci, 

Pulveris Rhei, 

Agarici, aa 3j ; 

Spiritus Yini Gallici Oij. 
Macera per dies septem, cola, et adde — 

Syrupi f 3ij. 
Misce. 
Signa. — Dose, a tablespoonful three times a day, in water. 

This is the celebrated Baume de Yie, or Elixir of Life. It 
is a powerful tonic, and one of the most effectual febrifuge 
medicines. In intermittents, especially, it is justly celebrated. 



186 toxics. 

[517. Elixir of Cinchona."] 

R. Quinias Sulphatis gr. xxv ; 

Quinidias Sulphatis, 

Cinchonias Sulphatis, aa gr. x ; 

Sacchari Ixx ; 

Olei Anisi, 

Olei Foeniculi, aa gtt. ij ; 

Olei Cinnamomi Zeylandici gtt. vj ; 

Olei Cari gtt. j ; 

Olei Aurantii "Ixl; 

Spiritiis Curagoas fivj ; 

Alcoholis deodorati, 

Aquas, 

Aquas Eosas, aa Oj ; 

Caramel f 3iij. 
Misce secundum artem. 

Dissolve the sulphates in the alcohol ; rub together the oils 
and sugar, and dissolve them in the water and rosewater, and 
add the alcoholic solution and Curacoa ; lastly, add a solution 
of carmine in aqua ammonias, just sufficient to color properly, 
and then the caramel. Mix thoroughly, and filter through 
paper until perfectly clear. Israel J. Grahame. 

[518. Ferrated Elixir of Cinchona] 

is made as the last, except that instead of the carmine solu- 
tion there is to be added, before filtration, one hundred and 
twenty-eight grains of ammonio-citrate of iron to each pint of 
the fluid. * I. J. Grahame. 

The advantage of these elixirs of cinchona is in having 
the active principles of the cinchona bark in the form of its 
salts, without the extractive matter, tannic acid, etc. They 
form very beautiful and palatable forms for administration. 

[519. Elixir of Bismuth^ 

R. Bismuthi Ammonio Citratis 3ij gr. xvj. 

Aquas destillatas f jfij ; 

Aquas Eosas f.5jss; 

Alcoholis deodorata f §iij ; 

Syrupi fgij ; 

Aquas Ammonias q. s. ; 

Olei Aurantii n^x ; 

Olei Cinnamomi Zeylandici, 

Olei Caryophylli, aa gtt. j ; 

Olei Anisi gtt. ij. 
Misce. 



TONICS. 187 

Dissolve the oils in f Ijss of the alcohol, add the syrup, and 
agitate the mixture well. Dissolve the bismuth salt in the 
distilled water and rosewater, adding sufficient aqua ammonias 
to produce a perfect solution. Add this to the first mixture, 
and lastly the remainder of the alcohol ; let it stand a short 
time, and filter until perfectly clear and bright ; if not so, add 
about f3ij more of alcohol. 

An elegant method of administering bismuth; each tea- 
spoonful containing about two grains of the salt. 

I. J. Grahame.' 

[520. Mixture of BismuthJ] 

B. Bismuthi Subnitratis gr. cc; 

Pulveris Tragacanthse gr. xxv ; 
Misce, et adde secundum artem, 

Syrupi Orgeat, 

(vel Syrupi Amygdalae U. S. P.) 

Aquae, aa f^ij ; 

Elixir Bismuthi (Formula 519), 

Alcoholis, aa f^ss. 
Misce. 
Signa. — A teaspoonful for a dose. 

Each dose of this delightful preparation contains five grains 
of the salt of bismuth ; with a little agitation it is suspended 
thoroughly, and the taste entirely covered. 

I. J. GRAHAME. 

521. Mixture of Nitrate of Silver. 

R. Argenti Nitratis gr. j ; 

Aquas destillatae f^ij ; 

Sacchari 3ij. 
Fiat mistura. 
Signa. — A teaspoonful every two hours. 

Used in the diarrhoea of newly-weaned infants. This is 
accompanied by the occasional injection of one-fourth of a 
grain of the salt in mucilage. Hirsch. 



188 TONICS. 

522. Fowler's Solution and Potassio- Tartrate of Iron. 

R. Ferri et Potassas Tartratis gr. xvj ; 

Aquas Cinnamomi f Jj. 
Solve, et adcle — 

Syrupi fgj ; 

Liquoris Potassas Arsenitis n^xxxij. 
Fiat mistura. 

Signa. — A teaspoonful three times daily, for a child one or 
two years old. 

Used in eczema infantile, and other skin diseases of early 
life. Ekasmus Wilson. 

523. Mixture of Muriated Tincture of Iron. 

B. Tincturse Ferri Chloridi f3ij ; 

Glycerinas f 3xiv. 
Misce. 
Signa. — Dose, a teaspoonful every three hours. 

This old and valuable tincture still retains the first rank 
among the chalybeates. Its ferruginous taste is so much 
modified by combination with glycerine as to remove the 
chief objection to its use. 

Eecommended as an astringent in diarrhoea, and other ex- 
hausting discharges; and as a tonic, by Bell and Yelpeau, in 
erysipelas. 

524. Mixture of Ammonio- Citrate of Iron. 

B. Ferri et Ammonias Citratis 5ij i 

Syrupi Limonis f 3j ; 

Aquas f^iij. 
Fiat mistura. 
Signa. — Take a teaspoonful every four hours. 

Employed in amenorrhcea and chlorosis. It may be given, 
also, in less quantity, in the anaemia of childhood. 

525. Mixture containing Peracetate of Iron. 

R. Tincturas Ferri Chloridi f 3iij ; 

Liquoris Ammonias Acetatis f Jiij ; 

Syrupi Aurantii Corticis foj ; 

Acidi Acetici nix. 
Misce. 
Signa. — A dessert-spoonful four times daily. 



TONICS. 189 

Prescribed as a ferruginous tonic for children, and for 
anaemia in adults. It has slight diuretic properties. 

J. F. Meigs. 

526. Mixture of Perchhride of Iron and Nitric Acid. 

R. Tincturae Ferri Chloridi, 

Aeidi Nitrici Diluti, aa fjj ; 

Syrupi Zingiberis f 3xiv ; 
Aquas Menthas Yiridis fsiv. 
Misce. 
Signa. — A tablespoonful every four hours. 

Eecommended as an astringent and tonic in phthisis. 

E. Bennett. 

557. Steel Wine. 

R. Ferri et Potassae Tartratis Jss; 

Yini Xerici Oj. 
Solve, et cola. 

Eecommended as a uniform and effectual substitute for the 
officinal vinum ferri. The dose is a tablespoonful, containing 
about four grains of the potassio-tartrate of iron. 

J. C. POOLEY. 

[528. Mixture of Arsenic and Iron!] 

R. Liquoris Potassae Arsenitis f 3j ; 

Ferri Ammonio Citratis 3U 5 

Elixir Cinchonas f^iij. 
Misce. 
Signa. — A dessert-spoonful after each meal. 

In anaemia with neuralgic tendency, or as a tonic after ma* 
larial affections. 

529. Mixture of JBestucheffe's Tincture and Valerian. 

R. Spiritus Ferri Chlorati iEtherei (Ph. Borus.) f 3ij ; 

Aquae Cinnamomi, 

Syrupi Aurantii Corticis, aa f ^j ; 

Infusi Valerianae f 3v. 
Misce. 

Signa. — Shake well, and take a tablespoonful every two 
hours. 

" Bestucheffe's Nervine Tincture," or "Lamotte's Golden 
Drops," as the preparation is variously called, is a favorite in 
Germany in the treatment of chlorosis, anaemia, and hysteria. 

SOBERNHEIM, 



190 TOXICS. 

530. Mixture of Pernitrate of Iron. 

R. Liquoris Ferri Nitratis f3j; 

Syrupi f 3ij ; 

Aquae f 3 v. 
Fiat mistura. 
Signa. — Give a teaspoonful every three hours. 

This preparation is very serviceable in all forms of diar- 
rhoea, but more especially in chronic mucous diarrhoea, hem- 
orrhage from the bowels, uterine hemorrhage, &c. 

Neligan. 

531. Mixture of Pyrophosphate of Iron. 

R. Ferri Pyrophosphatis 3j 5 

Syrupi, _ 

Aquas Cinnamomi, aa f^ij. 
Misce. 
Signa. — Take a teaspoonful an hour after each meal. 

M. Robiquet called attention to the superior advantages of 
the pyrophosphate over other salts of iron. Its taste is less 
unpleasant, it is freely soluble in water, it agrees well with 
the stomach, and is easily assimilated. 

532. Mixture of Iodide of Iron and Manganese. 

R. Liquoris Ferri et Manganesiae Iodidi f §ss ; 

Glycerinae f^jss. 
Misce. 
Signa. — Take a teaspoonful every three hours. 

This is used as a tonic, alterative, and emmenagogue. The 
salts of manganese are beginning to attract attention. The 
formulas for their preparation, by Prof. Procter, will be found 
in the American Journal of Pharmacy, vol. xxv. p. 198. 

[533. Syrup of Iron, Quinia, and Strychnia.] 

R. Ferri Phosphatis precipitate 3j? gr. iv; 

Quinias gr. xxxij ; 

Strychnia? gr. j ; 

Acidi Phosphorici diluti q. s.; 

Sacchari pulveris q. s. ; 

Aquas ad fjiv; 

Olei Aurantii gtt. v. 
Misce secundum artem. 

The iron, quinia, and strychnia should be carefully dis- 



TONICS. 191 

solved in the dilute phosphoric acid, the water added, and 
sugar sufficient to make a syrup by agitation or gentle heat. 
The syrup contains in each fluidrachm 2 grains of the iron 
salt, 1 of quinia, and ^ of a grain of strychnia. In anasmia 
with nervous debility. T. A. Lancaster. 

534. E.lixir of Pepsine. 

B. Pepsini (Boudault) 3jss; 
Aquas f3yjss; 
Yini Xerici f 3xijss ; 
Alcoholis f 5iij ; 
Sacchari 3j. 
Solve et cola. 

jSigna. — A tablespoonful, containing fifteen grains of pepsine, 
is administered immediately after each meal, in cases of 
indigestion. Mialhe. 



CLASS XY. 



ALTEEATIYES. 

Alteratives are medicines that re-establish the healthy 
functions of the animal economy, without producing any active 
evacuation. This class of remedies, therefore, embraces nume- 
rous preparations which produce a slow but decided effect on 
the various secreting organs, sometimes without any sensible 
increase of the secretions themselves, but in other instances 
obviously augmenting or magnifying them. Such is the 
action of minute doses of mercury, iodine, and other sub- 
stances upon the glandular apparatus. These medicines are 
generally classed with stimulants and tonics, some of them 
with narcotics, and others have been placed with those pre- 
parations to which they seem most allied when given in an 
overdose — sialagogues, for example. Without attempting to 
investigate this question farther than regards practical con- 
venience, we proceed in this place to indicate the more active 
and important Alteratives; merely premising the familiar 
truth, that medicines of almost every class of the materia 
medica become alteratives by being administered in very 
small doses at intervals of a few hours. 



Pills and Powders. 

535. Calomel Pills. 

R. Hydrargyri Chloridi Mitis gr. ij ; 

Confectionis Eosse q. s. ut fiant pilulas xij. 
Signa. — One may be taken every two hours. 

The use of calomel in minute doses has become very gene- 
ral, and deservedly so. In the hepatic and intestinal com- 
plaints of children it is productive of the happiest results 
when carefully managed. 



ALTERATIVES. 193 

In infants, for example, the sixteenth or the eighth of a 
grain, repeated every hour or two hours, according to age 
and circumstances, will often check diarrhoea, cholera infantum, 
and dysentery, which have resisted every other treatment. If 
the discharges are attended by pain and tenesmus, small doses 
of powdered opium or laudanum may be added ; but, as a 
general rule, the anodyne had better be given by injection. 

The preparation called blue pill (pilulse hydrargyri) is indi- 
cated in similar conditions, and is especially beneficial when- 
ever an alterative is called for. A grain given at bedtime, or 
even a grain in divided portions through the day, will often 
produce the desired effect. Hence its extensive use in chronic 
and obscure derangements of the digestive organs, especially 
of the stomach and liver ; in the whole class of syphilitic 
affections ; glandular enlargements, etc. 

In like manner, all the mercurial preparations mentioned 
under the head of Sialagog-ues, become alteratives by cau- 
tious administration in doses more or less minute, and espe- 
cially when they are given in conjunction with the prepara- 
tions of sarsaparilla. 

536. Pills of Calomel, Quinia, and Opium. 

R. Hydrargyri Chloridi Mitis gr. vj ; 

Pulveris Opii gr. iij ; 

Quiniee Sulphatis gr. xij ; 

Syrupi q. s. ut fiat massa in pilulas xij dividenda. 
Signa. — One night and morning. 

537. Pills of Blue Mass, Quinia, and Aloes. 

R. Pilulse Hydrargyri, 

Quiniae Sulphatis, 

Pulveris Aloes Socotrinse, aa gr. xij ; 

Syrupi Ehei q. s. ut fiant pilulas xij. 
Signa. — One three times a day. 

Either of the above prescriptions is adapted to the condition 
that follows bilious intermittent, or remittent fever. They 
may be denominated tonic alteratives. 

538. Pills of Bed Iodide of Mercury. 

B. Hydrargyri Iodidi Eubri gr. ss ; 

Extracti Glycyrrhizse gr. viij. 
Misce, et divide in pilulas viij. 

Signa. — Two in the morning and two at night ; dose to be 
gradually and cautiously augmented. 
13 



194 ALTERATIVES. 

539. Corrosive Sublimate Pills. 

R. Hydrargyri Chloridi Corrosivi gr. j. 
Solve in aqua destillata, dein adde — 
Micas Panis, 

Sacchari, aa gr. x vel q. s. ut fiant pilulas xx. 
Signa. — Take one pill every four hours as an alterative. 

DZONDI. 
540. Pills of the Arseniate of Iron. 

R. Ferri Arseniatis gr. iij ; 

Lupulinas 3j- 
Fiat massa, et divide in pilulas xlviij. 
Signa. — Give one pill night and morning. 

Prescribed by Dr. Biett in scrofulous, cancerous, and her- 
petic diseases. 

Arsenic is a powerful alterative, and. should be administered 
with the utmost circumspection. 

541. Asiatic Pills. 
R. Acidi Arseniosi gr. j ; 

Piperis gr. xij. 
Tere simul in pulverem subtilissimum, et adde — 
■ Pulveris Acacias gr. ij ; 
Extracti gentianas q. s. 
Misce, et divide in pilulas xxiv. 
Signa. — Take one pill morning and night. 

Much used by Biett for tuberculous lepra. 

Par. Codex. 

542. Iodide of Arsenic and Hemlock Pills. 

R. Arsenici Iodidi gr. j ; 

Extracti Conii 9ij. 
Fiat massa, et divide in pilulas xvj. 
Signa. — Take one pill morning and night. 

Given in lepra, impetigo, and cancerous disease. 

543. Pills of Iodide of Silver, etc. 

R. Argenti Iodidi, 

Potassas Mtratis, aa gr. x. 
Tere simul in pulverem subtilissimum, dein adde — 

Pulveris Glycyrrhizas 3ss ; 

Sacchari 9j ; 

Mucilaginis Acacise q. s. 
Fiant pilulas xl. 
Signa. — Take one pill three times daily. 



ALTERATIVES. 195 

Used successfully in the gastric affections of the Irish 
peasantry. C. Patterson. 

544. Pills of Bromide of Iron. 

R. Ferri Bromidi gr. xij ; 

Confectionis Kosse gr. xviij. 
Misce, et riant pilulse xx. 

Signa. — Two pills to be taken in the morning, and two in the 
evening, or one three times a day. 

In hypertrophy of the heart and scrofulous affections. 

Dr. Kobert Dick strongly recommends the use of the bro- 
mide of iron in dyspeptics with strumous habits. 

545. Pills of Calomel and Ox Gall. 

R. Hydrargyri Chloridi Mitis 9j ; 

Fellis Bovini inspissati gr. xv. 

Saponis gr. x, vel q. s. 
Fiat massa, in pilulas xx dividenda. 
Signa. — Take two pills at bedtime. 

These pills are alterative and deobstruent. 

546. Burnt Sponge. 
R. Spongiae Ustse 3j ; 

Sacchari 9j. 
Misce, et divide in chartulas vj. 

Signa. — One three times a day, gradually augmenting the 
dose. 

In bronchocele. 

It is well known that iodine was first discovered in sea- 
weed and sponges ; and the latter having long had the repu- 
tation of being a cure for goitre, it was found that iodine was 
the active remedial agent. We give above a prescription for 
the use of sponge, as formerly in vogue, but now nearly 
superseded by the preparations of pure iodine. 

[547. Pills of Tar.] 
R. Picis Liquidse 3ij ; 

Pulveris Grlycyrrhizae q. s. 
Misce, et divide in pilulas lx. 

Signa. — Two pills to be taken thrice daily, and the dose 
gradually increased for an adult. 

In chronic eczema. McCall Anderson. 



196 ALTEKATIVES. 



Tinctures, Mixtures, etc. 

548. Preparations of Iodine. 

That iodine is one of the most powerful alteratives at pre- 
sent known, there can be no question. There are few diseases 
dependent upon or connected with morbid secretion of the 
glandular structures, that are not more or less modified by 
its use, while in others it acts as a direct curative agent. It 
is chiefly, however, in scrofulous, glandular, and cutaneous 
affections that it acts most beneficially, dispersing indurations 
of the glands, and restoring the secretions of the cutaneous and 
mucous apparatus ; whence its advantages in eruptive diseases, 
bronchitis, leucorrhoea, amenorrhoea, etc. It has been found to 
restore suppressed hemorrhoidal and catamenial discharges, 
and, when pushed too far, has even produced alarming hemor- 
rhage of the lungs, nose, and uterus. These facts should 
make the practitioner extremely cautious in its administra- 
tion, beginning with small doses, and watching their effects. 
Should it produce any of the inconveniences already men- 
tioned, or dizziness, nausea, purging, burning of the skin or 
swelling of the gums, it should be at once suspended, or given 
less frequently and in smaller doses. 

549. Ethereal Tincture of Iodine. 

R. Iodinii gr. vj ; 
Athens fgij. 
Misce. 

Signa. — Dose, ten drops two or three times a day, largely 
diluted. Fifty drops contain one grain of iodine. 

Given in cutaneous and glandular diseases. Mag-endie. 

The author of Illustrations of Pulmonary Consumption 
strongly recommends this formula in catarrh, phthisis, etc. 
It has a powerful effect in glandular disease, and all affections 
of the mucous membranes. S. Gr. Morton". 

550. Mixture of Iodide of Potassium and Sarsaparilla. 

R. Potassii Iodidi 9ij ; 

Aquae f Siij ; 

Sacchari 3J ; 

Extracti Sarsaparillas Fluidi f sss. 
Misce. 
Signa. — Dose, a tablespoonful three times daily. 



ALTEEATIVES. 197 

This valuable combination may be used in scrofula, second- 
ary syphilis, and obstinate skin diseases. In fact, it may be 
given advantageously in most cases requiring an alterative. 

551. Mixture of Tincture of Iodine. 

R. Tincturse Iodinii f 3j ; 

Mucilaginis Acaciae f^ij ; 

Aquae destillatse f 3yj. 
Fiat mistura. 
Signa. — A tablespoonful every two hours. 

Employed in cases of ulceration accompanied by purulent 
discharge from the meatus auditorius, and in the scrofulous 
diathesis. 

552. Solution of Iodide of Iron. 

R. Ferri Iodidi 3j ; 

Aquae destillatge f *j ; 

Sacchari 3ij. 
Fiat solutio. 

Signa. — Dose, six to ten drops, morning, noon, and night, in 
a wineglassful of cold water. 

The officinal solution — "Syrupi Ferri Iodidi" — keeps much 
better than an aqueous solution of the pure salt, and is there- 
fore generally preferred. Ten to twenty drops are given, 
diluted with water. 

553. LugoVs Solutions. 

Dr. Lugol, one of the first experimenters with iodine, an- 
nounced that its solubility in water could be increased to any 
desired extent by the addition of iodide of potassium. He 
devised three preparations of different strengths, viz : — 

'No. 1. Or the solution for internal use, contains of iodine, 
1 part ; iodide of potassium, 2 parts ; and water, 20 parts. 

No. 2. The rubefacient solution, contains of iodine, 1 part; 
iodide of potassium, 2 parts ; and water, 12 parts. 

No. 3. The caustic solution, contains of iodine, 1 part ; 
iodide of potassium, 1 part ; and water, 2 parts. 

The first of these has retained his name, and it alone should 
be dispensed upon a prescription calling for Lugol's solution. 
It is the compound iodine solution of the Pharmacopoeia, 
viz : — 



198 ALTEKATIVES. 

R. Liquoris Iodinii Compositi flss. 

Signa. — Give ten drops, in sweetened water, three times a day. 

Used in goitre and scrofulous diseases. 

554. Magendie's Anti- epileptic Iodine Solution. 

R. Potassii Iodidi 3iv ; 

Iodinii gr. ij ; 

Aquae Menthae Piperita f^vj. 
Fiat solutio. 
Signa. — Dose, a teaspoonful thrice daily. 

Used in epilepsy and catalepsy. 

555. Mixture of Iodide of Potassium. 

R. Potassii Iodidi 3j; 

Syrupi Zingiberis f^j ; 

Aquas f3v. 
Fiat mistura. 
Signa. — Take a tablespoonful three times a day. 

Prescribed in secondary syphilis, lupus, and various cuta- 
neous diseases. 

556. Mixture of Iodo-hydrar gyrate of Potassa. 

R. Potassii Iodidi gr. iijss; 

Aquas destillatae f^j. 
Solve, dein adde — 

Hydrargyri Iodidi Eubri gr. ivss. 

The compound salt in this solution may be assumed at eight 
grains, although there is a small excess of the iodide of potas- 
sium. The dose is from two to five drops, containing from 
the thirtieth to the twelfth part of a grain, which may be re- 
peated three times a day, much diluted. De. Channixg. 

557. Another Form. 

R. Hydrargyri Iodidi Yiridis gr. iij ; 

Potassii Iodidi 3ij ; 

Tincturae Gentianae Composite, 

Syrupi Sarsaparillae Compositi, aa Iij. 
Fiat mistura. 
Signa. — A teaspoonful three times daily. 

An invaluable remedy in secondary syphilis, and various 



ALTEKATTVES. 199 

skin diseases, as well as an excellent alterative in follicular 
laryngitis and ulcerations of the epiglottis. 

Hokace Green. 

558. Syrup of Ioduretted Biniodide of Mercury. 

R. Hydrargyri Iodidi Kubri gr. j ; 

Potassii Iodidi 5j ; 

Aquae f 5j ; 

Syrupi f|v. 
Misce. 
Signa. — A tablespoonful three times a day. 

This is employed like the two preceding formulas in second- 
ary syphilis and obstinate skin diseases. 

Hopital Saint Louis. 

559. Iodine Waters. 

The physicians of Europe, and especially of Paris, have 
made extensive and salutary use of iodine waters, both inter- 
nally and externally. In these the iodine is very much diluted, 
and generally with the addition of more or less common salt. 
These waters are prepared on a large scale and with great 
precision by the pharmaceutists of Paris ; but they have been 
but partially introduced into this country. M. Magendie, 
however, gives formulas for some extemporaneous iodine 
waters, which may answer all the purposes of the more ela- 
borate preparations. The following is an example : — 

R. Potassii Iodidi gr. vj; 

Iodinii gr. j ; 

Aquae Oij. 
Fiat solutio. 

This solution is to be taken at meals, in place of common 
water. 

560. Another Form. 

R. Syrupi Ferri Iodidi f5ss; 

Syrupi Acacias f^ij ; 

Aqaae Acidi Carbonici f^viij. 
Misce. 

Signa. — Take one-half at a draught, and then carefully cork 
the bottle to retain the gas in the remainder. 

DUPASQUIER. 



200 ALTERATIVES. 

561. Mixture of Donovan's Solution. 

R. Liquoris Arsenici et Hydrargyri Iodidi f3ij ; 

Syrupi Zingiberis f |ss ; 

Aquas f^iijss. 
Misce. 
Signa. — A dessert-spoonful an hour after each meal. 

Donovan. 

Donovan's solution affords a simple and efficient means of 
introducing into the system the three great alteratives. It 
has been found effectual in eradicating various chronic dis- 
eases, and especially the skin diseases of the scaly character, 
and venereal affections. 

562. Solution of Bromine. 

R. Brominii f^ss; 

Syrupi Amygdalae f Jss ; 

Aquas f^ij. 
Misce. 
Signa. — Dose, five drops three times daily. 

Given in scrofula. Pourche. 

563. Bibrorfs Antidote. 

R. Brominii 3v; 

Potassii Iodidi gr. iv ; 

Hydrargyri Chloridi Corrosivi gr. ij. 
Misce. 
Signa. — Take ten drops in a tablespoonful of wine or brandy. 

As these salts are but slowly soluble in bromine, there 
would be no objection, in cases of emergency, to dissolving 
them in a little water before the addition of the bromine. 

According to the experiments of Prof. Bibron, Prince Paul 
of Wurtemberg, Dr. W. A. Hammond, and others, this bro- 
mine mixture has proved a valuable antidote to the bite of 
the rattlesnake. The dose should be repeated every fifteen 
or twenty minutes, until relief is obtained. 

564. Solution of Bromide of Potassium. 

R. Potassii Bromidi 9ij ; 

Syrupi Aurantii Corticis f 3j ; 

Aquas f^iij. 
Fiat mistura. 
Signa. — Give a tablespoonful three times a day. 



ALTEEATIVES. 201 

The bromide of potassium is prescribed like the iodide, as 
an alterative, but is less efficacious. Huette and Thielmann 
recommend it in priapism, nymphomania, and satyriasis. Sir 
Charles Locock commends its efficiency in hysterical epilepsy, 
and directs it to be given in doses of five to ten grains, three 
times daily, for a week previous to, and during each menstrual 
period. 

565. Solution of Bromine and Bromide of Potassium. 

R. Potassii Bromidi 3ij + 9ij; 

Aquas faij. 
Solve. Dein adjice — 

Brominii 3j ; 

Aquas ad f^iv. 
Misce. 

This is recommended as a convenient standard formula for 
the use of bromine. It can readily be diluted to any extent 
by the addition of water. 

Each fluidrachm contains five grains of the bromide of 
potassium and fifteen grains of bromine. 

Bromine is an excellent remedy in the treatment of hospital 
gangrene. J. Lawrence Smith. 

566. Mixture of LugoVs and Fowler's Solutions. 

R. Liquoris Iodinii Compositi, 

Liquoris Potassse Arsenitis, aa f3ij. 
Misce. 
Signa. — Take ten drops three times daily. 

Used in chorea, psoriasis, pityriasis, and lepra. 

[567. Solution of Iodide and Bromide of Potassium^ 

R. Potassii Bromidi, 

Potassii Iodidi, aa 3ij ; 

Syrupi, _ 

Aquas Cinnamomi, aa f^iij. 
Misce. 
Signa. — A tablespoonful four times daily. 

In syphilitic neuralgia, nodes, etc.; also chronic rheu- 
matism. 



202 ALTERATIVES. 

[568. Arsenic with Morphia and Cascarilla.'] 

B. Liquoris Potassae Arsenitis f3jss; 

Morphiae Hydrochloratis gr. J; 

Syrupi Limonis, 

Tincturae Cocci, aa f 3ss ; 

Infusae Cascarillae ad f ^xij. 
Misce. 
Signa. — A tablespoonful after each meal. 

In chronic eczema, attended with feeble digestion. 

McCall Anderson. 

[569. Solution of Arsenic and Iodine^ 

R. Liquoris Potassae Arsenitis trUxxx. 

Potassae Iodidi gr. xvj ; 

Iodinii gr. iv; 

Syrupi Aurantii f^ij. 
Misce. 

Signa. — A teaspoonful in a wineglass of water, thrice daily 
after meals. 

In chronic eczema. ISTeligan. 

570. Pearson's Solution. 

R. Sodae Arseniatis gr. j ; 

Aquae f oj. 
Fiat solutio. 
Signa. — Dose, twenty drops three times a day. 

Used in the scaly and other skin diseases. It has less 
tendency than Fowler's solution to offend the stomach. 

An arseniate of ammonia was introduced by Biett, and 
employed by him in the same strength as the foregoing solu- 
tion, i. e., one grain to the fluidounce, and given in the dose of 
twenty drops. Its virtues are similar to those of Fowler's 
and Pearson's solutions. 

571. Mixture of De Valangin's Solution and Iron. 

R. Liquoris Arsenici Chloridi (Lond.) f 5v ; 

Tincturae Ferri Chloridi f 3iij ; 

Aquae destillatae Oj. 
Misce. 
Signa. — Take forty drops three times daily, after meals. 

Arsenic in its various forms has long been held in repute 



ALTERATIVES. 203 

as an alterative in lupus and cancerous affections. This com- 
bination secures both a tonic and an alterative effect. In 
strength, De Valangin's solution is intermediate between 
Pearson's and Fowler's solutions, jive fluidrachms containing 
nearly one grain. T. Hunt. 

572. Mixture of Sal Ammoniac. 

R. Ammonias Muriatis 3ij ; 

Sacchari ^j ; 

Aquas Menthae Viridis fliijss. 
Fiat mistura. 
Signa. — A tablespoonful every three hours. 

The German writers describe sal ammoniac as an excellent 
alterative and resolvent. Dr. Watson, of London, recom- 
mends it in facial neuralgia; and Dr. Ebden, of Bengal, speaks 
highly of its use in nervous headache, clavus hystericus, and 
neuralgic affections generally. 

573. Solution of Phosphate of Ammonia. 

R. Ammonias Phosphatis 3ss; 

Aquae destillatae f3vj. 
Fiat solutio. 
Signa. — A tablespoonful to be taken every four hours. 

This is a formula of Dr. Buckler, who recommends it in 
those cases of gout and rheumatism in which lithic acid is 
present in the urine ; as well as in all the modifications of 
those diseases, especially when they are associated with 
chronic thickening of the white tissues. 

574. Cod-liver Oil {Oleum Morrhuse). 

This preparation, which is now divested in a great measure 
of its nauseous smell and taste, is given in doses of half an 
ounce, three or four times a clay. To children, a teaspoonful. 

The peculiar flavor which the best oil retains can be ren- 
dered less perceptible by introducing equal bulks of the oil 
and cherry-laurel water into a bottle, and shaking them well 
together. After subsidence the water is to be separated from 
the oil. 

It is of much service in all strumous affections, and in the 
chronic forms of gout and rheumatism. It may be taken 
alone, or in milk, or on the froth of porter. Some persons 
swallow it in coffee, in lemon-juice, or with some of the aro- 
matic waters. 



204 ALTEKATIVES. 

Dr. Bradshaw recommends a weak infusion of flaxseed, 
flavored with lemon-peel, and sweetened to please the taste. 
He says: "I pour a small quantity of infusion into a glass, 
on which is added the oil, and again another small quantity 
of infusion upon it. In this manner, the dose may be swal- 
lowed, and will slip down without offending the palate, and 
generally is well retained even by irritable stomachs." The 
same author says : "Another mode has been successful when 
many have failed, and will be found equally valuable : It is 
the yelk of an egg beat up with boiling water and sugar, with 
which may be mixed a dessert-spoonful of brandy ; and on 
this, the dose may be given without producing that nausea so 
frequently experienced when conveyed by other vehicles." 

In the Editor's experience, the form of emulsion has proved 
to be one of the least satisfactory modes of exhibiting this 
article. He is in the habit of administering it in the pure 
state, directing the patient to chew a piece of orange peel or 
take a mintdrop before and after each draught ; or, what is 
equally effectual, to rinse the mouth and gargle the throat 
with vinegar, before and after the dose. 

575. Mixture of Cod-liver Oil. 

R. Olei Morrhuas f Iss ; 

Liquoris Potassse gtt. xl ; 

Aquse Menthse Piperita f^ss. 
Misce, et fiat haustus. 

The draught to be washed down with a teaspoonful of 
lemon-juice, to liberate the oil on the stomach. Dunglisoi*, 
New Bern., 6th ed., p. 557. Perctval. 

576. Another Fonn, for Children. 

R. Olei Morrhuas foj ; 

Yitellum unius ovi. 
Tere simul et adde gradatim — 

Syrupi Aurantii Corticis f ,lj ; 

Aquse Aurantii Florum f ^ijss. 
Fiat emulsio. 
Signa. — Give a tablespoonful three times daily. 

Used in scrofulous affections, and in rickets. 

Trousseau. 



ALTERATIVES. 205 

577. Mixture of Cod-liver Oil and Quinia. 

R. Quiniae gr. xvj ; 

Alcoholis f3ij. 
Fiat solutio. Dein adde — 

Olei Morrhuse Oss. 
Solve cum leni calore. 

The quinia indicated in the prescription can be readily 
procured from a solution of the sulphate by the addition of 
ammonia. If the oil and quinia be gently heated in a water- 
bath, the solution takes place as the alcohol evaporates. 

Lyman. 

578. Mixture of Cod-liver Oil and Iodine. 

R. Iodinii gr. jss; 

Olei Morrhuae f iv. 
Tere simul. 
Signa. — Dose, a tablespoonful three times a day. 

The quantity of iodine can be increased without materially 
changing the appearance of the solution. . Flelschmann. 

579. Mixture of Corrosive Sublimate. 

R. Hydrargyri Chloridi Corrosivi gr. ij ; 

Aquae destillatas f %v ; 

Aquae Cinnamomi f 3ij ; 
m Syrupi f gj. 
Misce. 
Signa. — Dose, a tablespoonful thrice a day. 

This excellent alterative is often administered in compound 
syrup of sarsaparilla. It is better, however, to give it in a 
simpler form, to prevent any chemical change. It is particu- 
larly serviceable in the secondary forms of syphilis, and in 
syphilitic rheumatism. 

580. Mixture of Nitro-muriatic Acid. 

R. Acidi Nitromuriatici f 3j ; 

Aquas f^viij. 
Misce, et adde — 

Spiritus ^Etheris ISTitrosi f3ij. 
Fiat mistura. 

Signa. — From twenty drops to half a teaspoonful to be given 
every three hours, in a wineglassful of sweetened water. 



206 ALTERATIVES. 

This acid is also employed as a bath in hepatic derange- 
ments. For this purpose, put a teaspoonful of the acid into 
a quart of warm water, and apply it to the region of the liver 
night and morning, by means of a soft sponge. 

581. Diluted Nitric Acid. 

R. Acidi Nitrici f3j ; 

Aquas Oij ; 

Sacchari j$j. 
Fiat mistura. 

Signa. — One- eighth of this quantity may be taken daily, in 
divided doses. 

In lues venerea. 

Nitric acid may be prescribed both as a tonic and an altera- 
tive in the above form. It is best taken through a quill, as 
the teeth suffer when it comes in contact with them. It some- 
times arrests the colliquative sweats of hectic fever when 
other remedies fail. Feeeiar, Med. Hi^. 

'582. Mixture of Hyposulphite of Soda. 

R. Sodas Hyposulphitis 5ij ; 

Infusi Quassias fsvj. 
Fiat solutio. 
Signa. — A tablespoonful three times daily. 

In France the hyposulphite is employed in chronic cuta- 
neous and scrofulous affections. It has likewise been used 
with advantage in rheumatism. This particular formula was 
resorted to successfully in an obstinate case of yeasty vomit- 
ing, accompanied with sarcinas ventriculi. R. JSTeale. 

583. Artificial Harrowgate Water. 

R. Potassas Sulphatis cum Sulphure (Ed.) 5j j 

Potassas' Bitartratis 5ss ; 

Magnesias Sulphatis 3yj ; 

Aquas destillatas Oij. 
Solve. 
Signa. — One-half, taken in draughts, constitutes a full dose. 

The above ought to be taken in the morning, before break- 
fast, and be followed by a walk, to produce the desired effect. 

Duffix. 



ALTERATIVES. 207 

584. FaWs Antacrid Tincture. 

R. Pulveris Guaiaci Kesinae *j ; 

Terebinthinas Canadensis %j ; 

Olei Sassafras f5ij ; 

Alcoholis f^viij. 
Misce, macera per dies septem, et cola; dein adde — 

Hydrargyri Chloridi Corrosivi 9j. 
Misce. 

Signa. — Take twenty drops in wine or sweetened water, night 
and morning. 

Dr. E. D. Fenner, of New Orleans, recommends this pre- 
paration in dysmenorrhoea and the consequent sterility. 

Dr. G. Emerson, of Philadelphia, has found it a valuable 
alterative in secondary syphilis. 



CLASS XYI 



ASTEINGESTS. 

Doctoe Cullen" describes astringents to be "such sub- 
stances as, applied to the human body, produce contraction 
and condensation in the soft solids, and thereby increase their 
density and force of cohesion." "And by the operation of 
this corrugating power," adds Dr. Murray, " either directly 
exerted on a part, or extended by sympathetic action, the 
morbid affections arising from a state of relaxation are sup- 
posed to be removed." 

In the use of this class of medicines a caution suggests 
itself, namely, that they should not be given to arrest evacua- 
tions that are critical, and designed by nature to relieve a 
plethoric state of the system, unless such evacuations exist to 
an alarming extent. 

Under this head are introduced, as a matter of convenience, 
many remedies which have the property of arresting morbid 
discharges, not from any inherent astringency, but from some 
alterative influence or stimulant impression upon the secret- 
ing organ from which the discharge takes place, as is the case 
with a large number of the remedies for diarrhoea which 
follow. 

Powders and Pills. 

585. Compound Powder of Alum. 

R. Aluminis 9j ; 

Pulveris Kino gr. v. 
Fiant pulveres v. 
Signa. — One to be given every two hours. 

This compound, though much employed by some practi- 
tioners, contains substances which would be incompatible 



ASTRINGENTS. 209 

with each other if given in solution. Used in menorrhagia, 
obstinate diarrhoea, etc. 

586. Oxide of Silver and Aromatic Powder. 

R. Argenti Oxidi gr. xij ; 

Pulveris Aromatici gr. xxx. 
Misce, et fiant pulveres xij. 
Signa. — One powder every three hours. 

Sir James Eyre and Dr. Butler Lane extol highly the use 
of the oxide of silver in the various forms of passive hemor- 
rhage, and particularly in menorrhagia. 

587. Powders of Sugar of Lead and Calomel. 

R. Hydrargyri Chloridi Mitis, 

Plumbi Acetatis, aa gr. j. 
Fiant pulveres iv. 
Signa. — Give one powder every three hours. 

In cholera infantum. 

The above dose is adapted to any period between ten and 
twenty months of age. T. D. Mitchell. 

588. Powders of Sugar of Lead, Calomel, and Ipecacuanha. 

R. Hydrargyri Chloridi Mitis, 

Pulveris Ipecacuanhas, aa gr. ij ; 

Plumbi Acetatis gr. viij. 
Misce, et divide in pulveres viij. 
Signa. — Give one powder every three hours. 

Used in cholera infantum. The quantity of sugar of lead 
appears large, but experience proves that it may be given, 
both with safety and benefit, to a child from one to three 
years old. D. F. Condie. 

589. Powders of Alum and Opium. 

R. Aluminis Jss j 

Pulveris Opii gr. iij. 
Fiant pulveres vj. 
Signa. — One to be taken every three hours. 

In diarrhoea. 

14 



210 ASTRINGENTS. 

590. Powders of Suhnitrate of Bismuth and Magnesia. 

R. Bismuthi Subnitratis 3j ; 

Pulveris Acacise 3ss ; 

Magnesias 9j ; 
Misce, et divide in pulveres xij. 
Signa. — Give one powder every four hours. 

Used in the diarrhoea of phthisis. T. Thomson. 

[591. Powders of Calomel, Opium, and Bismuth.'] 

R. Hydrargyri Chloridi Mitis gr. j ; 

Pulveris Ipecacuanhas Compositi gr. iv ; 

Bismuthi Subnitratis gr. xviij. 
Misce, divide in chartulas xij. 
Signa. — Give one powder every two hours. 

In cholera infantum in its early stage, and in the inflamma- 
tory diarrhoea of children, to be followed after the diarrhoea 
is arrested by a mild laxative of castor oil or syrup of rhubarb. 

592. Powders of Suhnitrate of Bismuth. 

R. Bismuthi Subnitratis gr. vj ; 

Sacchari gr. xij. 
Fiant pulveres vj. 

Signa. — Place a powder on the tongue of a child (one year 
old), three or four times daily. 

Used in the diarrhoea of children. 

Recamier, Trousseau. 

593. Powders of Subcarhonate of Bismuth. 

R. Bismuthi Subcarbonatis gr. viij ; 

Sacchari Lactis gr. xvj. 
Fiant pulveres viij. 
Signa. — Administer one powder every three hours. 

Eecommended both for the mucous diarrhoea of children 
and for gastrodynia in adults, the properties of the subcar- 
bonate being analogous to those of the suhnitrate of bismuth. 

594. Pills of Sugar of Lead and Calomel. 

R. Plumbi Acetatis 3ss ; 

Hydrargyri Chloridi Mitis gr. v ; 

Confectionis Rosas q. s. 
Fiant pilulas x. 
Signa. — One to be given every two hours. 

In hemorrhage, and especially in hasmatemesis. 



ASTKINGENTS. 211 

595. Pills of Sugar of Lead and Opium. 

R. Plumbi Acetatis gr. xij ; 

Pulveris Opii gr. vj ; 

Confectionis Eosae q. s. ut fiat massa in pilulas vj divi- 
denda. 
Signa. — One to be taken every hour. 

Used in haemoptysis and other hemorrhages. It is also 
useful for checking the profuse perspiration in consumption. 

596. Pills of Alum, Catechu, and Opium. 

R. Aluminis, 

Catechu, aa gr. vj ; 

Extracti Opii gr. j. 
Fiat massa, et divide in pilulas vj. 
Signa. — Give one pill every three hours. 

In passive hemorrhage, and in atonic mucous discharges. 

597. Pills of Rhatany and Rhubarb. 

E. Extracti Krameriae 3j ; 

Extracti Ehei Alcoholici 9j ; 

Syrupi Zingiberis q. s. 
Fiat massa, et divide in pilulas xxx. 
Signa. — Take one pill every two hours. 

Prescribed in diarrhoea and chronic dysentery. 

598. Pills of Creasote and Opium. 

R. Creasoti gtt. v ; 

Pulveris Opii gr. iij ; 

Pulveris Acaciae gr. vij. 
Tere simul, et divide in pilulas x. 
Signa. — One pill to be taken every three hours. 

Used in chronic diarrhoea, and in chronic bronchitis ; also 
employed for the relief of toothache, by pressing a pill into 
the cavity of a carious tooth. Blasius. 

[599. Pills of Creasote and Opium.] 

R. Creasoti 3 iij ; 

Opii Turcici 3ij ; 

Pulveris Capsici 3ij ; 

Pulveris Krameriae q. s. ut riant pilulae cxx. 
Signa. — Two pills every two hours till relieved. 

For the treatment of acute diarrhoea. J. Johnson. 



212 ASTRINGENTS. 

600. Pills of Kino and Opium. 

R. Pulveris Kino gr. xx; 

Pulveris Opii gr. ij ; 

Mucilaginis Acacise q. s. ut fiant pilulae vj. 
Signa. — Take one every four hours. 

In diarrhoea, pyrosis, &c. 

601. Pills of Opium and Tannic Acid. 

R . Acidi Tannici gr. xx ; 

Pulveris Opii gr. v; 

Glycerinae q. s. ut fiat massa in pilulas x dividenda. 
Signa. — One pill every four hours. 

Glycerin is a good excipient for tannic acid, reducing it 
in bulk, and thus enabling the prescriber to combine it with 
other articles in pills of a moderate size^. This combination 
is very serviceable in affections of the bowels. 

602. Pills of Tannin and Morphia. 

R. Acidi Tannici 9j ; 

Morphias Sulphatis gr. j ; 

Mucilaginis Acacias q. s. 
Divide in pilulas x. 
Signa. — One to be given every two hours. 

Blue mass may be added according to circumstances. In 
diarrhoea and dysentery. 

603. Pills of Gallic Acid. 

R. Acidi Gallici 9j ; 

Extracti Gentianse gr. x. 
Fiat massa, in pilulas x dividenda. 
Signa. — Give one pill every three hours. 

Used in hematuria, and other hemorrhages. 
Gallic acid is also employed beneficially in pyrosis, and in 
the night-sweats of consumption. 



Mixtures, Infusions, etc. 

604. Infusion of Matico. 

R. Piperis Angustifolii lj; 

Aque bullientis Oj. 
Macera per horas duas et cola. 
Signa. — Take a wineglassful every two hoars. 



ASTRINGENTS. 213 

This "has been used to check the discharge in haemoptysis, 
haeruatemesis, and dysentery, as well as in leucorrhoea and 
gonorrhoea. 

605. ParrisNs Camphor Mixture. 

R. Aquas Camphorae f^iij ; 

Spiritus Lavandulae Gompositi f 5j ; 
Sacchari 3j- 
Fiat mistura. 

Signa. — Give a tablespoonful every two hours in .diarrhoea 
and cholera morbus, adding ten drops of laudanum when 
there is much pain. Jos. Parrish. 

606. Hope's Mixture. 

R. Aquae Camphorae fsiv; 

Acidi Mtrici ^liv; 

Tincturae Opii Rxl. 
Fiat mistura. 
Sig?ia. — Dose, a tablespoonful every two hours. 

In diarrhoea and dysentery. 

This is a well-known and very efficacious preparation analo-' 
gous to Hope's Mixture. If the nitric acid is added in larger 
proportion, it is liable to defeat the object of the prescription. 
The original formula contained a nuidrachm of nitrous acid, 
forty drops of laudanum, and eight fluidounces of camphor- 
water, and was given in doses of two fluidounces every three 
hours. Thos. Hope. 

607. Chalk Mixture. 

R. Cretae Praeparatae 3jss ; 

Sacchari, 

Pulveris Acaciae, aa 3j ; 

Aquae destillatae f%iv ; 

Olei Cinnamomi ttlij ; 

Tincturae Opii ir^xl. 
Misce. 
Signa. — Dose, a tablespoonful every two hours. 

In diarrhoea and dysentery. 

When a strongly astringent mixture is desirable, we add to 
the above formula two fluidrachms of the tincture of kino, or 
the same quantity of the tincture of krameria, catechu, or 
nutgalls. 



214 ASTRINGENTS. 

In the Children's Hospital of this city the prepared oyster- 
shell is substituted in this mixture for the chalk, with the 
addition of one fluidrachm of paregoric and three of tincture 
of rhatany, and given in teaspoonful doses every two or three 
hours. T. Hewson Bache. 

[608. Cholera Mixture^ 

B. Pulveris Aromatici 3iij; 

Tincturae Catechu f 3x ; 

Tincturae Cardamomi Composite f3vj; 

Tincturae Opii f 3j ; 

Misturas Cretas ad f Ixx. 
Misce. 

Signa. — For an adult two tablespoonfuls after each evacua- 
tion ; for a child seven years old a dessert-spoonful. 

In diarrhoea and cholera. — London Board of Health. 

609. Jackson's Cholera Mixture. 

R. Spiritus Lavandulae Compositi, 
Spiritus CamphoraS, aa f^ss ; 
Tincturae Opii, 

Spiritus iEtheris Compositi, aa f 3ij. 
Misce. 

Signa. — Give twenty drops at short intervals in cholera mor- 
bus, and the early stages of cholera, to allay nausea and 
relieve pain. 

This prescription was frequently used in the cholera of 
1832 by Professor Samuel Jackson with the most satisfactory 
results. 

610. Decoction of Galls. 

R. Grallae contusas 3ij ; 
Aquas bullientis f 3x. 

Coque per sextam horae partem, et cola. 

A wineglassful of this is given every few minutes as an anti- 
dote, in cases of poisoning by any of the vegetable alkaloids, 
or by tartar emetic, sulphate of copper, sulphate of ziuc, 
etc. etc. It may be rendered more agreeable by the addi- 
tion of an aromatic, and some sugar, for administration in 
diarrhoea. Dose, a tablespoonful. 



ASTRINGENTS. 215 

611. Mixture of Extract of Logwood and Catechu. 

R. Extracti Haematoxyli £iij ; 

Tincturae Catechu f 3ij ; 

Sacchari 3j ; 

Aquas f^vij. 
Misce. 
Signa. — A tablespoonful to be given once in three hours. 

In the advanced stages of diarrhoea and dysentery. 

612. Blackberry Syrup with Aromatics. 

R. Syrupi Eubi f 3ij ; 

Spiritus Lavandulae Compositi f 3ij ; 

Aquae Cinnamomi f 3vj ; 

Aquae f^j. 
Misce. 
Signa.— Dose, a teaspoonful for a child. 

Employed with much benefit as a mild astringent and 
stimulant in cholera infantum, and the bowel complaints of 
children. E. P. Thomas. 

613. Mixture of Ergot and Cinnamon. 

R. Extracti Ergotae Fluidi, 

Tincturae Cinnamomi, aa f^ss ; 

Syrupi fgj ; 

Aquae f ^ij. 
Misce. 
Signa. — Give a teaspoonful every three hours. 

Recommended in menorrhagia, and other hemorrhages. 

614. Mixture of Geranium Maculatum. 

R. Extracti Geranii Fluidi {Thayer) f3yj ; 

Tincturae Cinnamomi f 3ij ; 

Syrupi Eosae Gallicae f^ij. 
Misce. 
Signa. — Take a dessert-spoonful every two hours. 

The geranium is the best of the indigenous astringent roots, 
and may be beneficially employed in cases of diarrhoea and 
chronic dysentery. Its freedom from unpleasant taste renders 
it particularly valuable in the diseases of childhood. 



216 ASTRINGENTS. 

615. Mixture of Tincture of Catechu and Laudanum. 

R. Tincturae Catechu f jfj ; 

Tincturae Opii f 3j ; 

Pulveris Acaciae 3ij ; 

Aquae Cinnamomi f Ivj. 
Misce. 
Signa. — A tablespoonful every two hours. 

In diarrhoea. 

616. Creosote Mixture. 
R. Creasoti gtt. vj; 
Alcoholis f 3j ; 
Syrupi Amygdalae f 3ss ; 
Aquae f^ijss. 
Fiat mistura. 

Signa. — Dose, a dessert-spoonful diluted, every two or three 
hours. 

Used in hemorrhages and to allay sick stomach. 

[617. Another Form.] 
R. Creasoti nixvj ; 

Acidi Acetici Glacialis nixvj ; 

Olei Juniperi n^iij ; 

Alcoholis f 3ss ; 

Syrupi flj ; 

Aquae destillatae fixv. 
Misce. 
Signa. — Take one to two tablespoonfuls. 

In chronic diarrhoea, nausea of pregnancy, and some forms 
of dyspepsia. — British Pharmacopoeia. 

618. Alcoholic Solution of Creosote. 

R. Creasoti, 

Olei Caryophylli, aa gtt. j ; 

Alcoholis f3j. 
Misce. 

A drop or two of this solution dropped into the cavity of an 
aching tooth, is said to afford immediate relief. 

[619. Mixture of Nitrate of Silver^ 

R. Argenti Nitratis gr. j ; 
Syrupi Acaciae ffjss. 
Misce. 
Signa. — A teaspoonful every two or three hours. 



ASTRINGENTS. 217 

In the exhaustive stage of cholera infantum. Great care 
should be taken to have the syrup perfectly pure and clear ; 
a syrup made extemporaneously, or a thick mucilage, not 
being adapted to preserve the salt from rapid change. 

[620. Mixture of Sulphate of Soda and Opium.'] 

R. Sodas Sulphatis gr. xviij ; 

Tincturas Opii gtt. vj ; 

Aquas Cinnamomi f^ss; 

Syrupi Acacias f^j. 
Misce. 
Signa. — Give a teaspoonful every two hours. 

In the diarrhoea or summer complaint of children ; this 
formula being adapted for a child about one to one and a half 
year old. L. D. Harlow. 

[621. Mixture of Chloroform and Sulphate of Soda.~\ 

R. Chloroformi «ix; 

Alcoholis deodorati f ^ss ; 

Sodas Sulphatis 3ss ; 

Aquas Menthas Piperitas f^ijss. 
Misce. 
Signa. — Take a tablespoonful every hour until relieved. 

An effectual remedy in the diarrhoea of hot weather or 
from relaxation of the bowels. If much pain be present, a 
few drops of laudanum, or if acidity, five grains of bicar- 
bonate of soda may be added to each dose. 

622. Solution of the Perchloride of Iron. 

R. Ferri Chloridi 3ij ; 

Aquas f^j. 
Solve. 
Signa. — Apply with a brush. 

Used to arrest gangrene or hemorrhage resulting from dis- 
ease, or accident, or in consequence of surgical operations. 
If the solid perchloride of iron be kept in a bottle, a small 
portion of it, after a time, deliquesces into a thick brown 
liquid, which is constantly kept in a state of supersaturation, 
by the undeliquesced portions of the salt. This liquid, applied 
by means of a spun-glass brush to a bleeding surface, arrests 
the flow of blood almost immediately. 

J. Zachariah Laurence. 



218 ASTRINGENTS. 

623. MonseVs Solution. 

3k 

R. Liquoris Ferri Subsulphatis f^iv. 
Signa. — Apply as an astringent lotion. 

Like the solution of the perchloride of iron, this is a power- 
ful styptic and antiseptic. It has been extensively employed 
for arresting hospital gangrene, and for checking hemorrhages 
and abnormal discharges. 

624. Alum Whey. 

R. Lactis Vaccinas bullientis Oj ; 

Pulveris Aluminis 3ij. 
Coque per sextam horse partem, et cola. 
Signa. — A cupful to be taken occasionally. 

In diabetes and passive hemorrhages. Foy. 

625. Mixture of Gallic Acid and Morphia. 

R. Acidi Grallici 3j ; 

Morphias Acetatis gr. j ; 

Alcoholis f 3j ; 

Syrupi Tolutani f3iij ; 

Aquas f^iijss. 
Misce. 
Signa. — Dose, a tablespoonful. 

Used in the London City Hospital for checking night- 
sweats in consumption. Hutchinson. 

626. Aromatic Syrup of Galls. 

E. Pulveris Gallse §ss ; 

Pulveris Cinnamomi, 

Macis, aa 3ij ; 

Spiritiis Yini Grallici fiviij. 
Misce, et macera per horas viginti quatuor. 

Having been allowed to stand twenty-four hours, the re- 
sulting tincture is filtered into a saucer. Then two ounces of 
sugar, in lumps, are suspended on wire gauze just above the 
surface of the liquid. The latter is set on fire, and the flame 
melts the sugar and converts it partly into caramel, which 
drops into the liquid beneath. When the combustion stops, 
the syrup is stirred and filtered for use. The dose is a table- 
spoonful for an adult. 

It is used in diarrhoea and chronic dysentery. 

Jos. Paeeish. 



ASTRINGENTS. 219 

[627. Mixture of Hydrochloric Acid and Galls.] 

R. Acidi Hydrochlorici diluti fflxxxvj ; 

Syrupi Gallas Aromatici (Formula 626) f^ss ; 

Syrupi Acacias f£j. 
Misce. 
Signa. — Give a teaspoonful every two or three hours. 

In the diarrhoea of young children, following cholera in- 
fantum. If a great deal of debility is present, Huxham's 
tincture or one of the elixirs of bark may be substituted for 
the syrup of gum. 

628. Mixture of Extract of Bhatany, &c. 

R. Extracti Krameriae 3j; 

Syrupi Papaveris (Lond.), 

Aquas Kosae, aa f^ij. 
Fiat mistura. 
Signa. — A teaspoonful for a dose. 

Given in passive hemorrhage and chronic dysentery. 

M. FOUQUIER. 

629. Solution of Acetate of Lead. 

R. Plumbi Acetatis gr. v; 

Aceti gtt. v ; 

Sacchari 3j ; 

Aquas f^j. 
Fiat mistura. 

Signa. — Give a teaspoonful to a child every hour or two, to 
allay the vomiting in cholera infantum. D. F. Condie. 

630. Enema of Acetate of Lead, etc. 

R. Plumbi Acetatis 9j ; 
Tincturae Opii gtt. lx ; 
Aquae tepidae f ^ij. 
Fiat mistura. 

Signa. — To be thrown up the rectum in uterine hemorrhage. 

W. Dewees. 
631. Tannin Suppository. 

R. Acidi Tannici 3j; 

Olei Theobromae ^ss. 
Misce cum leni calore, et riant suppositoria iv. 

Employed in cases of bleeding piles, fissures of the anus, 
and mucous discharges from the rectum. Trousseau. 



CLASS XVII 



ABSORBENTS, OB ANTACIDS. 

Absokbents or Antacids form a class of remedies for cor- 
recting acidity in the stomach and bowels. As a general rule 
they should be preceded by an emetic or cathartic, or both. 
When a permanent effect is desired, they are usually com- 
bined with tonics and aromatics, and sometimes with narcotics. 
When given alone, they too frequently afford but transient 
relief. 

Powders and Pills. 

632. Compound Cretaceous Powder with Opium. 

R. Cretae Praeparatae 3jss; 

Pulveris Cinnamomi jj ; 

Pulveris Piperis Longi gr. viij ; 

Pulveris Opii gr. vj. 
Divide in chartulas xij. 
jSigna. — One three or four times a day. 

In diarrhoea. 

The above formula, with a slight alteration, is from the 
London Pharmacopoeia. 

633. Powder of CraVs Claws and Rhubarb. 

R. Chelae Cancrorum 3j ; 

Pulveris Ehei 9ij. 
Misce, et divide in pulveres iv. 

Signa. — One may be taken once or twice a day, according to 
circumstances. 

In acidity of the primae viae. 

This preparation is called by the several names of crab's 
claws, eyes, and stones. It is a carbonate of lime united with 
some animal gelatine. 



ABSORBENTS, OR ANTACIDS. 221 

634. Powder of Magnesia, Fennel-seed, and Cinnamon. 

R. Magnesias Iss ; 

Pulveris Foenicnli, 

Pulveris Cinnamomi, aa 5j- 
Fiat pal vis. 
Signa. — Dose, a small teaspoonful three or four times a day. 

Given in dyspepsia, attended with acid eructations. 

635. Powder of Magnesia, Soda, and Ginger. 

R. Magnesias Iss; 

Sodas Bicarbonatis, 

Pulveris Zingiberis, aa 9j. 
Misce. 
Signa. — A small teaspoonful occasionally. - 

In cardialgia. 

636. Powder of Magnesia and Columbo. 

R. Magnesias 3jss. 

Pulveris Calumbas 3j. 
Misce, et divide in chartulas vj. 

Signa. — One may be taken three times a day, in sugar and 
water. 

In cardialgia. 

637. Povjder of Charcoal, Carbonate of Magnesia, and Ginger. 

R. Carbonis Ligni 5j ; 

Magnesias Carbonatis 3'\j ; 

Pulveris Zingiberis 9j. 
Misce, et divide in pulveres iv. 
Signa. — One powder to be taken three times daily. 

Used in dyspepsia, accompanied with acidity. 

E. DUNGLISON. 

638. Pills of Soda, Rhubarb, etc. 

R. Pulveris Ehei, 

Sodas Carbonatis exsiccatas, 

Extracti Gentianas, aa 9j ; 

Hydrargyri Chloridi Mitis gr. iij. 
Fiant pilulas xx. 
Signa. — One pill an hour after each meal. 

Given in dyspepsia, attended with constipation. 



222 



Mixtures, Solutions, etc. 

639. Compound Chalk Mixture. 

R. Misturae Cretae f£v; 

Tincturse Catechu, 

Tincturae Opii Camphoratse, aa f 3ss. 
Misce. 
Signa. — A tablespoonful every three hours. 

Prescribed in diarrhoea, accompanied by acidity or flatu- 
lence. 

640. Mixture of Salt of Tartar. 

R. Potassae Carbonatis Purae 3j ; 

Sacchari 3ij ; 

Aquas Mentha? Piperita? fjiv;. 

Spiritus Lavandulae Compositi f 3ij ; 

Tincturae Opii n^xl. 
Misce. 
Signa. — A tablespoonful every two hours. 

In sickness of the stomach, attended with acidity. 

641. Mixture of Salt of Tartar and Ammonia. 

R. Spiritus Ammoniae Aromatici f 3j ; 

Potassae Carbonatis Purae 3ij ; 

Syrupi Zingiberis f 3yj ; , 

Aquas f^iv. 
Misce. 
Signa. — A large teaspoonful for a dose. 

In pyrosis and acid eructations. 

642. Mixture of Lime-water and Milk. 
R. Liquoris Calcis, 

Lactis recentis, aa f^iij. 
Misce. 
Signa. — One or two tablespoonfuls for a dose. 

In sickness of the stomach few remedies are more, prompt 
in their effect. 

[643. Syrup of Lime.] 

R. Calcis Hydratae 3j ; 

Sacchari Pulveris ^ij ; 

Aquae destillatae Oj. 
Misce, et digere per horas duas et cola. 



ABSOEBENTS, OE ANTACIDS. 223 

This preparation contains over seven grains of lime in each 
fluidounce, and may be given in doses of two or three flui- 
drachms to adults, or half a drachm to a young child, as an 
antacid in nausea. P. Squiee. 

644. Magnesia-water. 

R. Magnesias £ij ; 

Aquas bullientis f^iv. 
Misce. 

Signa. — Give a dessert-spoonful of the clear fluid every two 
hours. 

This is an excellent antacid remedy, adapted to children. 
It is highly aperient. B. Ellis. 

645. Mixture with Ammonia, Magnesia, etc. 

R. Magnesias 3j; 

Spiritus Ammonias Aromatici f 3j ; 

Spiritiis Cinnamomi f 5iij ; 
Aquas f 3vj. 
Misce. 
Signa. — A tablespoonful every two hours. 

In the sickness accompanying pregnancy. 

646. Decoction of Columbo, Salt of Tartar, etc. 

R. Calumbas 3ss; 

Aquas f^viij. 
Coque ad f^v, cola, et adde — 

Potassas Carbonatis Puras gr. x ; 

Succi Limonis f 3iij ; 

Tincturas Opii gtt. xij. 
Misce. 

Signa. — From a teaspoonful to a tablespoonful may be given 
every hour. Anti-emetic. 

647. Tonic Mixture with Carbonate of Soda. 

R. Sodas Carbonatis 9iv; 

Infusi Gentianas Compositi, 

Aquas Cinnamomi, aa f^iij ; 

Tincturas Cardamomi fgss. 
Fiat mistura. 
Signa. — A tablespoonful every two or three hours. 

In acidity, flatulence of the stomach, etc. 



224 



[648. Soda Mint] 

R. Sodas Bicarbonatis 3ij ; 

Spiritus Ammonias Aromatici gtt. xl ; 

Aquas Menthae Piperitae f Jviij. 
Misce. 
Signa. — Dose, a teaspoonful for an infant. 

An effectual carminative antacid in the colic of new-born 
children ; useful also in larger doses in acidity and flatulence 
of adults. 

649. Dyspeptic Lye. 

Take of 

Hickory ashes 1 quart. 

Soot 6 ounces. 

Boiling water 1 gallon. 

Mix, and let them stand for twenty-four hours, frequently 
stirring the ingredients. A teacupful may be given of this 
liquor (decanted) three times a day. It should be decanted 
always at the end of twenty-four hours, for, by standing 
on the materials a long time, the water acquires caustic 
properties, and may do serious injury. 

This domestic remedy we have thought best to give, as we 
received it, in the English language. It deserves an inser- 
tion, from the circumstance that it was employed by the late 
Dr. P. S. Physick, in his own case, and was of decided advan- 
tage when the usual alkaline remedies had failed. 

B. Ellis. 



BOOK II 



OF 



EXTERNAL APPLICATIONS 



CLASS XYIII 



CAUSTICS, OB ESCHAEOTIOS. 

Caustics or cauteries are divided into the actual and poten- 
tial. The first consists of fire itself; and the second, of those 
substances which destroy the living solids, either by excessive 
stimulation, or, as some suppose, by producing a chemical 
decomposition. 

650. Actual Cautery. 

The use of iron heated to a white heat as a cautery extends 
back.to the most ancient times. It is still occasionally em- 
ployed in the treatment of diseases of the spine and joints; 
and also to arrest hemorrhage by searing incised or wounded 
surfaces. But the particular modes of its application belong 
more properly to the regular treatises on surgery than to a 
work of this kind. 

651. Firing. 

A modified form of the actual cautery has attracted some 
attention in Europe, from its great efficacy in the relief of 
neuralgic and other pains, paralysis, sciatica, and chronic 
rheumatism. 

Dr. Corrigan, of Dublin, uses a simple instrument, consist- 
ing of a thick iron-wire shank, two inches long, inserted in a 
small wooden handle, and having on its extremity, which is 
slightly curved, a button of iron a quarter of an inch thick 
and half an inch in diameter, the whole instrument being 
only six inches long. The face of the button for application 
is quite flat. If the instrument be larger than this, it will 
require too much time to heat it ; if smaller, it will not retain 
the heat a sufficient length of time. In using the instrument, 
it is necessary to hold the button over the flame of a spirit- 
lamp, keeping the forefinger, which holds the wire, at the 



228 CAUSTICS, OR ESCHAROTICS. 

distance of half an inch from the button. As soon as the 
finger feels uncomfortably hot, the instrument is ready for use. 
It is applied as quickly as possible, the skin being tipped suc- 
cessively, at intervals of half an inch, over the whole affected 
part, as lightly and rapidly as possible, always taking care to 
bring the flat surface of the button fairly in contact with the 
skin. In this way the process of firing a whole limb or the 
loins, making about one hundred applications, does not occupy 
a minute. You can ascertain at once whether the heat be 
sufficient. If you look sideways at the spots as you touch 
them, you will observe that each spot the iron has touched 
immediately becomes of a glistening white. The iron is 
never red-hot, and does not make an eschar. — Braithwaite's 
Retrospect, No. 13, p. 55. 

652. Caustic Potassa. 

The Causticum commune acerrimum is the pure potassa. 
When mixed with lime, its activity is lessened, and it is then 
called Causticum commune mitius. Tor the best mode of 
applying this substance, see the remarks on Issues. As this 
caustic spreads rapidly and eats deeply, care should be taken 
not to leave it on too long, when in the neighborhood of large 
bloodvessels. When, however, we wish to arrest its effects, 
they may be neutralized at once by vinegar, or vinegar and 
water. 

653. Vienna Paste (Potassa cum Calce). 

R. Potassse 5v; 
Calcis 3yj ; 
Alcoholis q. s. ut fiat magma. 

The paste is spread on the part to be cauterized, and is 
allowed to remain for ten or fifteen minutes, while the sur- 
rounding skin is protected by adhesive plaster. 

654. Vienna Paste with Opium. 

B=. Potassae cum Calce 5ij ; 

Pulveris Opii 3ss ; 

Saponis Mollis q. s. 
Misce. 

This preparation is employed for the same purpose as the 
common caustic. 



OR ESCHAROTICS. 229 

655. Vienna Paste with Morphia. 

B. Potassse cum Calce partes iij; 

Morphias Muriatis partem j ; 

Aquas q. s. ut fiat magma. 
Misce. 

The addition of the morphia modifies the painfullness of the 
caustic, without materially diminishing its activity. 

656. Caustic of Filhos. 

R. Potassas partes ij ; 

Calcis partem j. 
Misce. 

The caustic is fused, and run into leaden tubes like nitrate 
of silver. It is a convenient form for the application of a 
powerful caustic to uterine growths or ulcers. 

657. Lunar Caustic. 

This caustic is the nitrate of silver {Argenti nitras fusa) 
deprived of its water of crystallization, fused and cast into 
moulds. Its mode of application varies with the object in 
view. If designed as an antiphlogistic, or as a stimulant to 
old ulcers, it should be passed lightly and rapidly over the 
affected part. If used as a caustic, it should be pressed 
against the surface for a few seconds. The valuable and 
peculiar property of this caustic is the limitation of its action 
to the part to which it may be applied. 

658. Burnt Alum. 

The Alumen Exsiccatum is made by depriving alum of its 
water of crystallization by heat. It is applied in powder to 
the fungous granulation of ulcers; and, mixed with an equal 
part of powdered sugar, is used to remove specks from the 
cornea. 

659. Chloride of Zinc. 

This is a powerful escharotic, and is safe and certain in 
cases that require the destruction of a considerable thickness 
of the living tissues; "never causing violent pain in the 
affected parts, or any kind of irritative fever, or disorder of 
the digestive organs." 

" The epidermis having been removed by nitrate of silver, 
the chloride of zinc may be applied as a caustic by means of 
a moistened hair pencil, either alone or mixed with an equal 



230 CAUSTICS, OR ESCHAROTICS. 

portion of oxide of zinc, or sulphate of lime, or according to 
the following form : — 

660. Canquoinh Caustic Paste. 

R. Zinci Chloridi partes ij ; 
Farinas partes iij ; 
Antimonii Terchloridi partem j ; 
Aquse q. s. nt fiat pasta." 

This paste should be spread thickly on the diseased part. 
Dunglison's New Remedies, 6th ed. p. 694. 

661. Caustic Paste of Chloride of Zinc. 
R. Zinci Chloridi, , 

Calcis Sulphatis, aa <|ss. 
Misce. 

This preparation is very liable to deliquescence, to prevent 
which a little flour may be added at the time of application. 

662. Caustic Collodion. 

R. Hydrargyri Chloridi Corrosivi 3j ; 

Collodii Jj. 
Solve. 

When this solution is applied with a camel's hair brush to 
the surface of nsevi materni, warts, condylomata, etc., the 
ether evaporates and leaves a film of the caustic firmly at- 
tached to the nasvus ; ulceration occurs in a few days, a super- 
ficial slough separates and thus destroys the nsevus without 
disfigurement. Macke. 

663. Sulphuric Acid. 

The mineral acids are all escharotic, though seldom em- 
ployed, on account of the difficulty of managing fluids when 
used in this way. 

Sulphuric Acid, mixed with saffron, is proposed by Yelpeau 
as one of the most effectual caustics. Mr. James Syme directs 
it to be mixed with an equal weight of sawdust to obtain a 
proper consistence to prevent spreading; the surrounding 
parts being protected by the application of a solution of gutta 
percha in chloroform. 

Mr. Syme has also employed a saturated mixture of sul- 
phuric acid and dried sulphate of zinc. An ordinary quill 
pen is charged with the mixture and drawn over the tumor in 
different directions, by which means the skin is soon corroded. 



OR ESCHAEOTICS. 231 

The application is continued from day to day until the whole 
sloughs out. 

664:. Acid Nitrate of Mercury. 

R. Liquoris Hydrargyri Nitratis Oj. 

This is a powerful caustic, and is much employed in Eng- 
land and on the Continent to destroy malignant ulcerations, 
particularly those of a cancerous character. It is applied by 
means of a camel-hair pencil, and the parts are then covered 
with lint. 

665. Ointment of Arsenic. 

R. Acidi Arseniosi 3j; 
Adipis, 

Cerati Cetacei, aa 3yj. 
Signa. — Melt the cerate and lard over a slow fire, and then 
stir in the white oxide of arsenic, and triturate carefully in 
a glass mortar. 

Used to destroy cancerous tumors. Pharm. Chirurg-. 

In hot weather, arsenic may be advantageously rubbed up 
with basilicon ointment, to prevent its spreading on the sound 
parts. A scruple of the former, to half an ounce of the latter, 
makes a strong ointment. 

666. Arsenical Paste for Dentists. 

R. Acidi Arseniosi gr. ij ; 

Morphias Sulphatis gr. j ; 

Creasoti q. s. 
Misce, flat massa. 

Used to destroy the sensibility of a carious tooth before 
plugging. Having cleansed the cavity, fill it with a portion 
of the paste, secured with a pledget of cotton or a bolus of 
wax. J. D. White. 

667. Dubois's Arsenical Powder. 

R. Acidi Arseniosi 3ss; 

Hydrargyri Sulphur eti Eubri Ij ; 

Sanguinis Draconis 3ss. 
Fiat pulvis. 

Chiefly used in the French hospitals as a caustic to cancer- 
ous affections. 

Arsenic is sometimes applied in the form of a paste made 
with water, which is carefully laid over the part to be re- 



232 CAUSTICS, OR ESCHAROTICS. 

moved, and renewed according to circumstances. 'When the 
slough forms, it should be dressed with a poultice, or with 
cerate spread on lint. It acts rapidly and requires watching, 
a remark that applies equally to all these pastes. 

668. Caustic Glycerols of Iodine, 

R. Potassii Iodidi partem j ; 

Glycerinse partes ij, 
Solve et adde — 

Iodinii partem j. 
Fiat solutio. 

Employed in lupus, by painting the solution over the dis- 
eased part, and applying oiled silk or gutta percha paper to 
prevent evaporation. The application is attended by pain of 
variable intensity and duration. It has proved successful in 
obstinate cases, after other remedies had failed. Bichter. 

Lugol's " caustic solution of iodine"' corresponds in strength 
with the foregoing glycerole, water being substituted for the 
glycerin. It has long been a favorite remedy in lupus, and in 
tuberculous and hypertrophied conditions of the skin. 

669. Solution of Sal Ammoniac. 

E. Ammonise Muriatis Ij; 

Aceti destillati f aij ; 

Aquae f 5iv. 
Fiat solutio. 

To be applied to venereal warts. Bell on Venereal. 

670. Chromic Acid. 

This acid has lately been employed in Germany as an escha- 
rotic. It is said to be efficient, manageable, and less painful 
than the ordinary applications. A concentrated solution 
(3j-ij in water f^j) is applied by means of a glass rod. The 
solid chromic acid has to be used with care, on account of its 
penetrating action. 

671. Moxa. 

This is another method of using the actual cautery ; and, as 
it is engaging the attention of physicians, we insert the usual 
mode of applying it. The Chinese employ this remedy by 
means of the mugwort. They separate this soft, lanuginous 
substance by beating, and form it into a cone ; the base of 
this is attached, by being wetted, to the skin, and the point 
set on fire. 



ISSUES AND SETONS. 233 

Dr. Boyle recommends dipping cotton in a strong solution 
of nitrate of potassa, and inclosing pieces of it, thoroughly 
dried, in paper cylinders, about one inch in diameter, and an 
inch in height. Dr. Burne employs wood in a state of dry 
rot — touchwood. This only requires to be shaped properly, 
and it burns, he says, with certainty and steadiness, and is 
preferable to the other modes suggested ; some of which, as 
common cotton or lint, requiring the use of the bellows, and, 
when they have been dipped in nitre, demanding care to pre- 
vent the scintillations from injuring the surrounding parts. 

Gnn cotton, steeped in chlorate of potassa, and then tho- 
roughly dried and formed into cylinders, has also been recom- 
mended. 

The cylinders or cones of touchwood may be confined to 
the skin by a little adhesive plaster fixed to the edges. 

It has been proposed to place pieces of cold iron in the 
neighborhood of the part while the moxa is burning, in order 
to render the sensations more vague, and therefore less pain- 
ful. 

Moxa is used in diseases of the spine, paralysis, etc. etc. 



Sub-Class.— ISSUES AND SETONS. 

These remedies are employed as substitutes for blisters, 
especially when a permanent discharge is desired. 

There are three kinds of issues in common use, by either 
of which a discharge of purulent matter may be procured for 
any length of time that may be requisite. They are applied 
in different situations, according to circumstances, and some 
one of the following parts is generally chosen : the nape of 
the neck,*the hollow of the deltoid muscle, and between the 
shoulders or over the ribs in front. In the inferior extremi- 
ties they are most conveniently formed in the inside of the 
leg, either above or below the knee. 

672. Blister Issue. 

To form this issue, it is merely necessary to apply a blister 
to any part in the usual manner ; the skin being thus re- 
moved, the discharge must be promoted by means of stimu- 
lating applications, as the cantharidal ointment, or the savin, 
or compound resin cerate. These may be alternated with 
mild liniments, in order to prevent the ulceration and conse- 
quent discharge from becoming excessive. 



234 ISSUES AND SETONS. 

673. The Pea Issue. 

There are two modes of forming this issue; the first is 
made by means of a lancet. The part is merely taken in the 
thumb and finger, and an incision made by passing the lancet 
through the skin. The wound should be kept open by means 
of orange peas, the common pea, a bean, or a piece of orris 
root. 

The second is formed with caustic potassa. 

The following extracts from the Surgeon 's Vade Mecum will 
exemplify the manner of forming the issue with caustic : — 

"The part is first to be covered with a piece of adhesive 
plaster, in the centre of which a circular hole has been cut of 
the size of the intended issue ; in this hole the caustic potassa, 
made into a paste with soap, is to be placed. The whole is 
then to be covered with another plaster, secured by a bandage, 
and suffered to remain for ten or twelve hours. Generally, in 
two or three days, an eschar begins to separate, when the 
opening should be filled with the substance made choice of." 
These substances are enumerated above. 

674. The Seton. 

To form this artificial discharge, take the seton-needle, to 
which is attached a skein of silk, the latter being partially 
anointed with some oleaginous substance. The needle is to 
be passed completely through the part chosen for the opera- 
tion, after which it is removed, and the ends of the silk left 
hanging from the wound. It should be dressed every day, or 
twice a day, with some mild ointment; and if this be not suf- 
ficient to keep up the discharge, the more stimulating un- 
guents may be used, as mentioned when speaking of the blis- 
ter issue. 



CLASS XIX. 



EPISPASTIOS. 

" By the ancients, all the external applications which 
redden or inflame the skin were called Epispastics, and these 
were designated according to the several degrees of effect : 
the slightest, entitled phcenigmoi; the next, sinapismi ; the 
more active, vesicatorii; and the strongest, caustici" 

At the present day, the term is restricted to those articles 
which produce a serous discharge beneath the cuticle — the 
blister of common language. 

As a general rule, blisters should remain on the patient six 
or eight hours, in order to insure their full effect. There are 
individuals, however, whose skins are so delicate that a shorter 
application will answer every purpose; in children, it is 
seldom necessary to leave them on longer than three or four 
hours. When they are applied to the scalp, twelve hours are 
almost universally required; and Dr. Chapman directs the 
hair to be shaved, if possible, some hours before the applica- 
tion is made. 

The usual dressing, when the blister is taken of, is basilicon 
ointment, or simple cerate, according to the urgency of the 
case, or irritability of the system. In order to keep it 
open, the weak epispastic, or savin ointment, will be found 
sufficient. 

When the system is very prostrate, blisters should be ap- 
plied to the inside of the thighs, or over the spine ; for r when 
the circulation is languid in the extremities, they seldom draw 
well, and are even liable to produce gangrene by exhausting 
the little vitality that remains. 

In diseases attended with an asthenic condition, when there 
is essentially a depression of the vital powers, as in most 
cases of eruptive fevers, blisters should be used with very 
great caution, and, generally, avoided altogether. This is 



236 EPISPASTICS. 

especially the case in the exanthemata of children, where the 
application of a blister often causes a deep slough, adding 
greatly to the previously existing prostration, and, in some 
cases, turning the balance against recovery. In such cases 
the rubefacients and superficial irritants are much to be pre- 
ferred. 

When, from peculiarity of constitution, strangury is pro- 
duced, we must take them off after three or four hours, and 
bathe the part with sweet oil, or apply a poultice, giving at 
the same time diluent drinks, such as flaxseed tea or barley 
water, with the sweet spirit of nitre, camphor, or parsley tea ; 
bladders, also, half filled with warm water, should be applied 
to the pubes. An opium suppository or injection will be 
found very advantageous. A poultice of ground flaxseed or 
starch is often serviceable, and a warm bath affords prompt 
relief. Prevention, however, is better than cure ; and in irri- 
table constitutions, or in persons disposed to strangury, the 
blistering ointment, before being spread, should be rubbed up 
with three or four grains of opium, and three or four times as 
much camphor. This preventive seldom fails. Blisters are 
rendered much less irritating by covering them with a fine 
gauze, which, if pressed in close contact with the plaster, will 
not prevent or materially retard its operation. It is seldom 
necessary to keep a blister on longer than to redden the skin, 
when a simple poultice will complete the vesication. In 
children this precaution is imperative. 

675. Blistering Plaster. 

R. Cerati Cantharidis q. s. ut flat super alutam, emplastrum 
epispasticum, 6 x 6. 

676. Blistering Ointment. 

II. Ceres Flavee, 

Kesinse, 

Adipis, aa Jvj. 
Liquefac cum leni calore, et adde graclatim — 

Pulveris Cantharidis 3vijss. 
Misce, et fiat unguentum. 

In employing this ointment, or the preceding cerate, the 
margin of the blister should be covered with adhesive plaster, 
in order to confine it to its place, and prevent its creating 
unnecessary irritation. Another mode is to draw straps 
across it diagonally, which plan we generally prefer ; it pre- 
vents the blister from rising in the middle, and thereby par- 
tially defeating its object. 



EPISPASTICS. 237 

677. Instantaneous Vesication. 

The French practitioners have a process for raising an in- 
stant blister. A piece of linen or paper, being cut to the re- 
quisite size, is immersed in spirit of wine or brandy, Cologne 
water, oil of turpentine, or spirit of camphor, whichever is 
most readily obtained. It is then laid on the part to be blis- 
tered, taking care that the moisture does not wet the sur- 
rounding surface. The flame of a lighted taper is then applied 
quickly over the surface of the paper so as to cause ignition, 
which is almost instantaneous. At the conclusion of this 
operation, the cuticle is found detached and raised from the 
true skin beneath. 

678. Cantharidin. 

This substance, more or less impure, has been used during 
the last few years as a substitute for the common blistering 
cerate. The pure cantharidin is too expensive for general 
use, but an impure article, sufficiently concentrated for ordi- 
nary purposes, can be readily obtained. The cantharidin 
blistering tissues and vesicating taffetas, now offered for sale, 
are of this character : — 

679. Cantharidal Ether or Green Oil of Flies. 

R. Pulveris Cantharidis partem unam ; 

^Etheris partes duas. 
Macera per dies tres et exprime. 

If this extract be applied undiluted twice, by means of a 
hair pencil, it produces, in children, free vesication in an hour 
or two ; and if applied three times in an adult, the same effect 
takes place in three or four hours. The ether evaporates, 
and the remaining green fixed oil operates like the canthari- 
des in substance. Oettinger. 

680. Blistering or Cantharidal Collodion. 

R. iEtheris Cantharidalis (prepared as above), 

Collodii, partes asquales. 
Misce. 

It is computed that two scruples of this collodion are equal 
to four drachms of common blistering plaster. It is applied 
by a brush two or three times over the affected part. 

Oettinger. 



238 EPISPASTICS. 

681. Extract of Cantharides. 

During the winter of 1853, a simple aqueous extract of 
Spanish Flies, prepared by Professor Procter, was used ex- 
tensively in the Pennsylvania Hospital, and found to be a 
most efficient substitute for the blistering cerate. The appli- 
cation of it for six hours raised as free a blister as the cerate 
did in eight. 

Since the discovery, by the same gentleman, that cantha- 
ridin is soluble in oil, oleaginous extracts have been devised, 
thus proving the general correctness of Galen's plan of pre- 
paring an ointment by macerating the entire insect in melted 
lard for twenty four hours, and then straining by expression. 
An oleaginous extract, prepared by digesting the powdered 
flies in melted lard, is a most efficient substitute for the offi- 
cinal cerate. 



CLASS XX 



BUBEFAOIEITS. 

The substances called Rubefacients not unfrequently vesi- 
cate on very delicate skins. The term, therefore, is relative. 
They are employed for the same purposes as blisters, and are 
often good substitutes for them. 

682. Mustard Plaster. 

R. Pulveris Sinapis Nigrse iij ; 
Aquas q. s. ut flat cataplasma. 

It is a very general practice to use vinegar in making this 
plaster, but if the mustard be pure, the chemical reactions, on 
which the irritant properties chiefly depend, are better devel- 
oped with water than vinegar. In fact, a high heat, or the 
use of a strong acid solution, materially checks the process. 

The uses of the mustard poultice are too well known to 
require description. It is frequently made by adding an 
equal quantity of wheat or rye flour; this should always be 
done for children, or other persons of delicate skins. It can- 
not generally be borne longer than half an hour or an hour. 

Great care should be taken to caution ignorant persons 
against too long-continued use of mustard in contact with the 
skin, as the slough produced by it is very deep and intracta- 
ble. Persons not unfrequently have gone to sleep under the 
soothing effect of a mustard plaster, to awaken in agony from 
this dangerous burn. 

If a mild rubefacient effect be desired, the mustard may be 
mixed with syrup or molasses, instead of water. When thus 
made, the plaster may be borne two or three hours. 

683. Garlic Cataplasm. 

The garlic cataplasm is employed with the same intention 
as the mustard, though much less active. It may be made by 



240 RUBEFACIENTS. 

bruising the cloves of garlic, and mixing them in a common 
poultice of bread and milk. 

684. Onion Poultice. 

Onions are often used in cases of croup, and in diseases 
of the chest in children, as revulsives and antispasmodics. 
Having been partially roasted, mashed, and spread between 
the folds of thin muslin, they are applied over the chest, and 
are permitted to remain as long as they retain their warmth 
and moisture. 

Another onion poultice may be prepared by boiling 
thoroughly corn-meal until a soft mush is produced ; then 
cutting the raw onions very fine, and stirring the onion and 
juice into the hot mush; allowing to heat through, and then 
spreading upon cloths. Onion poultices make a most valua- 
ble application to the legs and arms of children threatened 
with convulsion. 

685. Cataplasm of Mustard, Pepper, and Ginger. 

B. Sinapis Nigrae contusae Tbss; 
Pulveris Piperis, 
Pulveris Zingiberis, aa Ij ; 
Aquae bullientis q. s. ut fiat cataplasma. 
Signa. — To be applied to the region of the stomach in severe 
pain or sickness, or to the soles of the feet when revulsion 
is required. 

686. Spice Plaster. 

R. Pulveris Caryophylli, 
Pulveris Piperis, 
Pulveris Capsici, 
Farinae, aa §j ; 
Aquae bullientis q. s. ut fiat cataplasma. 
Signa, — Let the plaster, thus prepared, be applied hot to the 
epigastric region. 

Employed for the relief of flatulence and sick stomach. 

687. Clove Plaster. 

Quilt some powdered cloves in flannel, and wring them out 
in hot whiskey or alcohol. Thus prepared, they form an 
excellent external application in colic, and in irritability of 
the stomach, etc. 



BUBEFACIENTS. 241 

688. Mercurial Ointment, Camphor, etc. 

R. ITnguenti Hydrargjri Ij; 

Olei Terebinthinae, 

Camphorse, aa 3ij ; 

Cerati Adipis §j. 
Misce, et fiat unguentum secundum artem. 

Used as a rubefacient over the hypochondriac region, when 
blisters are precluded. 

689. Tartar-emetic Plaster. 

This may be made by sprinkling the powdered tartar emetic 
on the surface of a Burgundy pitch or adhesive plaster, or on 
one made by spreading basilicon, or simple ointment, on soft 
leather or linen. In either way the margin should be left 
clean. 

Tartar emetic requires a longer time to produce its effect 
than the ordinary blister; the irritation is of a peculiar and 
very painful kind, and its effects must be watched with ex- 
treme care. 

690. Tartar-emetic Ointment. 

R. Antimonii et Potassas Tartratis 5jj 
Adipis ^j. 

Tere simul. 

This ointment, when applied to the skin, is a slow but cer- 
tain means of exciting an eruption. The officinal formula is 
two drachms to the ounce, a better strength for ordinary pur- 
poses. 

Dr. Kramer speaks highly of its use in acute inflammation 
of the tympanic membrane. It is to be rubbed over the mas- 
toid process. Hannay. 

691. Lotion of Tartar-emetic and Corrosive Sublimate. 

R. Antimonii et Potassse Tartratis Jj; 

Hydrargyri Chloridi Corrosivi gr. v; 

Aquas f Sj. 
Solve, et adde — ■ 

Spiritus Lavandulae Compositi f3j. 

This solution is applied by rubbing it on the part. The 
rubomg should be continued for five or ten minutes, and after 
some hours a pustular eruption will appear. — Dr. Haunay's 
essay, Be Tartratis Antimonii usu extemo, p. 26. 
16 



242 RUBEFACIENTS. 

It has been nsecl in pertussis, dyspnoea, catarrh, etc., and in 
the removal of incipient tumors. 

It has been ascertained by the illustrious Jenner and others, 
that tartar emetic, employed for an undue length of time ex- 
ternally, will produce violent effects on the system. 

We find in a note in Beck's Medical Jurisprudence, vol. ii. 
p. 283, that Dr. Francis mentions two cases wherein tartar 
emetic ointment, excessively used, produced effects similar to 
those at times arising from the outward application of arsenic. 
Magendie and Brodie ascertained by experiments upon ani- 
mals, that, inserted into wounds, its effects resemble those pro- 
duced by its internal exhibition. 

692. Granville's Antidynous Lotions. 

These preparations act with great celerity. They are formed 
of three ingredients, mixed in certain proportions, according 
to the urgency of the case, viz : — 

1. Of a saturated solution of ammonia; 2. Of the spirit of 
rosemary; and 3. Of spirit of camphor. 

1. The milder Ammonialed Lotion. 

R. Aquae Ammoniae Fortioris flj ; 

Spiritus Eosmarini (Phar. 1850) f5vj; 

Spiritus Camphor as f5ij. 
Misce. 

2. The stronger Ammoniated Lotion. 

R. Aquae Ammoniae Fortioris f3x; 

Spiritus Eosmarini [Phar. 1850) f 5iv ; 

Spiritus Camphorse f3ij. 
Misce. 

The only point in which these formulas differ from the 
original by Dr. Granville is in the preparation of the spirit of 
rosemary. Our Pharmacopoeia directs the oil of rosemary to 
be dissolved in alcohol. Dr. Granville had it prepared "by 
taking two lbs. of the tips or small leaves of fresh rosemary, 
and eight pints of alcohol, which are infused together for 
twenty-four hours in a covered vessel, and after adding as 
much water as will first prevent the empyreumatic smell, 
distil over seven pints." 

As to the method of applying these counter-irritants, we 
shall use the words of their inventor, Dr. Granville. " First 
impregnate with the colorless and transparent liquid, either a 
piece of linen folded six or seven times to the size of the part 
intended to be covered, or a piece of thick and coarse flannel ; 



RUBEFACIENTS. 213 

and, secondly, lay either of them on the spot, pressing with 
the hand at the same time, very steadily and firmly, the said 
linen or flannel, over which there should be placed a thick 
towel, doubled several times, so that not only the evaporation 
of the lotion may be impeded, but the hand employed in 
pressing the application to the part may not suffer damage 
from any evaporation, or from contact with the liquid. In 
some parts of the body more convenient than the others, the 
readiest and most effectual mode of pressing down the appli- 
cation is, by tying over it a towel or thick bandage ; bat to 
this mode there is the objection that we cannot, under certain 
circumstances, inspect the part as quickly and as often as re- 
quired, so as to judge, from the effect of the application, when 
to stop, or how long to persevere in using it." 1 

When applied to the temples, forehead, jaws, or chin, great 
care must be taken to prevent the effluvia from affecting the 
eyes and nostrils. The skin should be examined in a minute 
or two after the application, in order to see the effect pro- 
duced. When the pain is severe after the lotion is removed, 
simple diluent washes, and warm water, which is perhaps the 
best, will speedily allay it. Vesication will generally take 
place in from two to five minutes, and even in a minute in 
some persons; but where cauterization is requisite, ten or 
twelve minutes may be necessary. The irritated or denuded 
surface may be dressed, according to existing indications, with 
a simple poultice, tepid fomentations, cerate, or irritating 
ointments. 

693. Gonclrefs Pommade Ammoniacale. 

B. Adipis partes xxxij ; 

Olei Amygdalae Dulcis partes ij ; 
Aqu£e Ammonite Fortioris partes xvij. 

Melt the lard, mix the oil with it, and pour them into a 
wide-mouthed vial with a glass stopper ; then add the am- 
monia, close the bottle, mix the contents together by shaking, 
and keep the mixture in a cool place. If the skin is to be 
excited, perspiration to be re-established, or some subcuta- 
neous engorgement to be dissipated, the pommade is applied 
by friction with the fingers. But if a rubefacient effect is 
desirable, spread the ointment thickly on linen, and apply it 
for one or two minutes. For vesication, continue the appli- 
cation for five or six minutes ; and, by a farther continuance,, 
absolute cauterization is speedily produced. 

1 Granville : Counter-Irritation, its Principles and Practice, p. 39. 



244 RUBEFACIENTS. 

This, and the preceding ammoniacal preparations, are used 
in a great variety of diseases,, and in all cases when speedy 
and powerful counter-irritation is demanded ; as in neuralgia 
and rheumatic affections generally, both acute and chronic ; 
spasms, convulsions, gout, paralysis, inflammatory diseases of 
internal organs, diseases of the heart, sprains, amaurosis, dis- 
eases of the eyes, etc. etc. 

694. Caustic Solution of Potassa. 

R. Potassse 5jss ; 

Aquae fsij. 
Fiat solutio. 

Applied to the spine in tetanus. 

Dr. Joseph Hartshorne speaks in high terms of the benefi- 
cial effect of this solution in the above disease. The best 
mode of applying it, so as merely to produce a rubefacient 
action, is to tie a piece of sponge to a stick or common table 
fork, and apply it from the nape of the neck to the sacrum. 
"When the solution is strong, the effect is powerful. 

695. Concentrated Tincture of Cayenne Pepper. 

R. Pulveris Capsici 3iv ; 

Alcoholis f oxij. 
Macera per dies septem et cola. 

This powerful rubefacient is recommended .as an embroca- 
tion for toothache and neuralgic affections. 

A. Turxbull. 
696. Turpentine Liniment. 

R. Olei Terebinthina3, 

Olei Olivse, aa ,lij ; 

Spiritus Camphorae f Jj ; 

Aquas Ammonias f5j. 
Fiat linimentum. 

This is a good combination, and it may be used in most 
cases in which a prompt rubefacient is indicated. It is an 
effective agent for the relief of tympanitis, whether occurring 
after dysentery or diarrhoea, or arising in the progress of low 
fevers. For this purpose it should be well rubbed over the 
abdomen several times daily. 

697. Liniment of Cantharides. 

R. Pulveris Cantharidis ,?j ; 

Olei Terebinthinae flviij. 
Digere per horas tres in vase leviter clauso, et cola. 



RUBEFACIENTS. 245 

This liniment was first made by Dr. Jos. Hartshorne, of this 
city, who nsed it with great success in typhoid fever. It is 
merely rubbed over the surface of the body. 

S. G-. Morton. 

698. Compound Liniment of Cantharides. 

R. Cainphoras 3iij- 

Solve in Linimenti Cantharidis f §ss ; et adde — 

Unguenti Hydrargyri, 

Unguenti Adipis, aa Ej. 
Fiat linimentum. 

This preparation is employed in low fever, when it is desir- 
able to rouse the system, and at the same time affect it with 
mercury ; also in tumors. S. Gr. Morton. 

699. Liniment of Croton Oil. 

R. Olei Tiglii, 

Olei Olivas, aa 3j- 
Fiat linimentum. 

Croton oil is one of our safest and most efficient rubefacients. 
Rubbed for a few minutes, or sometimes even for a few 
seconds, on the skin, it produces irritation and redness, 
followed in some hours by a pustular eruption. If the 
effect is too severe at first, it is readily counteracted by a 
poultice, preceded by washing with mild soap and water to 
remove the oil. In some persons the oil may be applied 
pure. 

[700. Liniment of Croton and, Oil of Amberl\ 

R. Olei Tiglii gtt. xx ad xl. 

Olei Succini rectiflcati f ^j. 
Misce, et fiat linimentum. 

A most efficient liniment for the throat or chest in croup, 
catarrh, or pneumonia. Ellwood Wilson. 

701. Volatile Liniment 

R. Olei Olivas, 

Aquas Ammonias, aa f^j. 

Misce. 

Applied to the neck in inflammation of the throat. It is 
also used for sprains and bruises, and for enlarged glands. 



246 KUBEFACIENTS. 

702. Ammordaied Soap Liniment. 

R. Linimenti Saponis f^ij; 

Aquas Ammonias f 3j ; 

Tincturas Opii f^ss. 
Fiat linimentum. 

This may be beneficially employed in the same class of 
diseases as the volatile liniment. 

Iodine. 

Iodine is used in different forms as a rubefacient and counter- 
irritant. It produces local alterative effects when applied 
externally, and hence is much employed for the discussion of 
buboes, goitre, enlarged glands, and diseases of the joints. 
The officinal tincture is generally recommended, and is applied 
to the diseased part by a camel's hair pencil. 

The following formulas furnish solutions of different 
strengths, which prove satisfactory in practice. 

703. LugoVs Rubefacient Solution. 

R. Iodinii 5ss; 

Potassii Iodidi 5j ; 

Aquas f3yj. 
Misce. 

Used for touching the free margins of the eyelids and nos- 
trils in scrofulous ophthalmia, and strumous affections of the 
mucous membrane. Lugol. 

704. Iodine Paint. 

R. Iodinii gr. lxiv; 

Potassii Iodidi gr. xxx ; 

Alcoholis f 3J. 
Fiat solutio. King's College Hospital. 

705. Ethereal Solution of Iodine. 

R. ^Etherisflj; 

Potassii Iodidi gr. xv ; 

Iodinii q. s. ad saturandum. 
Misce. 

"It is applied in the same way as the tincture, by means of 
a camel's hair pencil rubbed over the part, until it begins to 
produce a burning sensation ; then cover it with a pledget of 
wadding, so as to prevent evaporation." E. Thomson. 



RUBEFACIENTS. 247 

706. Liniment of Groton Oil and Potassa. 

R. Olei Tiglii, 

Liquoris Potassaa, aa nix v. 
Misce, et adde — 

Aquas Kosas fjj. 
Fiat linimentum. 

This may be rubbed on the affected part twice or three 
times a day, until minute pustules appear. 

James Allen. 

707. Goiuhage Ointment. 

R. Mucunae gr. viij ; 

Adipis Bj. 
Fiat unguentum. 

The ointment must be rubbed in from ten to twenty minutes. 
The immediate effect is a sensation resembling stinging with 
nettles, but this passes off in less than half an hour. The 
skin generally becomes covered with white papules, which 
soon disappear. 

It is used in the same cases as the tartar emetic, or the 
Croton oil liniment. Blatin. 



CLASS XXI 



ANOMALOUS EXTEESAL 
APPLICATIONS. 

It was the original intention of the author of this work to 
arrange all the prescriptions, whether for internal or external 
use, under their appropriate therapeutic heads, and a few of 
the earlier editions conformed, more or less, to this view. But 
the introduction of a great number of new remedies, the true 
value of which can only be determined by careful trials, has 
caused much difficulty in arranging them properly in that 
respect. This remark is particularly applicable to the host of 
articles used, under various forms, in the skin diseases. To 
remedy this, and to facilitate reference as much as possible, 
the Editor has added the present class, which is arranged on 
a pharmaceutical, rather than a therapeutical basis, and its 
subdivisions are named according to the form of preparation 
employed, viz : Collyria, Injections, Gargles, Liniments, Oint- 
ments, Cataplasms, Baths, Fomentations, and Fumigations. 



A. — COLLYEIA. 

These are preparations applied to the eyes. They are 
sometimes dry, but generally liquid — consisting of infusions, 
decoctions, or distilled waters, with the addition of various 
medicinal substances. 

Powders. 

708. Dry Gollyrium of Oxide of Zinc and Sugar, 

R. Sacchari, 

Zinci Oxidi, aa partes sequales. 
Tere in pulverem. 



COLLYEIA. 249 

The ends of a quill having been cut off, a small quantity of 
the powder is placed in the barrel, and is gently blown into 
the eye. M. Kecamier. 

709. Dry Collyrium of Red Precipitate and Oxide of Zinc. 

B. Sacchari 3ij ; 

Hydrargyri Oxidi Kubri gr. x ; 

Zinci Oxidi 9j. 
Fiat pulvis subtilissimus. 

This, like the preceding powder, is used in opacities of the 
cornea, by blowing into the eye through a quill. 

DUPUYTREN". 

710. Dry Collyrium of Opium and Calomel. 

B. Pulveris Opii gr. iv ; 

Hydrargyri Chloridi Mitis, 

Sacchari, aa 3j. 
Tere bene. 

This compound is blown into the eye for the removal of 
specks on the cornea resulting from inflammation. 

711. Lapis Divinus. 
B. Aluminis, 

Potassae Nitratis, 
Cupri Sulphatis, aa ij ; 
Camphorse 3ss. 

The alum, nitre, and sulphate of copper are to be fused 
together, in a glazed earthen crucible, to drive off the water 
of crystallization, and the camphor is to be added near the 
end of the process. The cold mass is to be broken in pieces, 
and preserved in a closely stoppered bottle. 

This article is much employed on the Continent as an eye- 
wash, in the strength of two grains and upwards to a fluid- 
ounce of distilled water. 

Solutions and Mixtures. 

712. Alum Collyrium. 

B. Pulveris Aluminis gr. viij ; 

Aquae Kosse f^j. 
Fiat solutio. 

To be applied to the eye in chronic inflammation, as well 
as in the purulent ophthalmia of infants. 

Moorfield's Hosp. Pharm. 



250 COLLYEIA. 

713. Collyrium of Iodine and Iodide of Potassium. 

R. Aquae Eosae flyj; 

Potassii Iodidi gr. xxiv; 

Iodinii gr. ij. 
Fiat collyrium. 

Signa. — To be applied to the eyes three or four times in the 
day. 

In scrofulous ophthalmia and ulcerations of the cornea and 
conjunctiva. It is also serviceable in removing metallic 
specks from the cornea, by forming a soluble iodide with the 
metal. Eyan". 

714. Collyrium of Green Vitriol. 

R. Ferri Sulphatis gr. ij ; 

Aquae f Jj. 
Fiat solutio. 

Used in chronic ophthalmia. 

715. Collyrium of Subacetate of Lead and Wine of Opium. 

R. Liquoris Plumbi Subacetatis ^xij ; 

Vini Opii n^xl; 

Aquae Eosae f£iv. 
Fiat collyrium. 

This is an excellent eye-water, but it should not be used 
when there are ulcers on the cornea, as the lead might com- 
bine chemically with the base of the ulcer and form an in- 
delible mark. 

716. Collyrium of Vinegar and Alcohol. 

R. Aceti destillati f 3j ; 

Alcoholis f^ss; 

Aquae Eosae fsviij. 
Fiat mistura. 
Signa. — To be applied to weak eyes. 

In chronic ophthalmias after depletion. 

717. Collyrium of Acetate of Zinc. 

R. Zinci Acetatis gr. ij ; 

Aquae Eosae f^j. 
Fiat solutio. 

This is one of the best eye-waters in common use. 

It may be employed with great benefit in recent cases of 



COLLYRIA. 251 

inflammation of the eyes. It should be dropped into the eye 
twice daily. 

718. Alum Curd. 

R. Pulveris Aluminis 5ss; 

Albumen unius ovi. 
Fiat coagulum. 

Signa. — To be applied on a linen rag to inflamed eyes. It 
should be removed in three or four hours. 

719. Collyrium of Nitrate of Silver. 

R. Argenti Nitratis gr. j ; 

Aquae destillatae fgj. 
Fiat solutio. 
Signa. — Used by dropping into the eye. 

In acute ophthalmia, and to promote the absorption of 
specks upon the cornea. 

720. Collyrium of Sulphate of Cadmium. 

R. Cadmii Sulphatis gr. iij ; 

Aquae Kosas f 5ij ; 

Yini Opii f 5j- 
Fiat mistura. 

Used for opacities of the cornea, and in chronic ophthalmia. 

The quantity of sulphate of cadmium is gradually increased 
to four grains in an ounce. Fronmuller. 

721. Camphorated Collyrium of Sulphate of Copper. 

R. Cupri Sulphatis gr. vj ; 
Aquas Camphorae f^viij. 
Solve. 
Signa. — To be dropped into the eye. 

This is nearly the same as the formula recommended by 
Mr. Ware in the treatment of purulent ophthalmia. 

[722. Collyrium of Borax and Opium.~\ 

R. Sodae Biboratis gr. xx; 

Yini Opii gtt. x; 

Aquae Eosae f^j. 
Misce. 

In cases of chronic conjunctival congestion. 

T. G. Morton. 



252 COLLYEIA. 

723. Collyrium of Prussic Acid. 

B. Acidi Hydrocyanici diluti f3j ; 

Aquas destillatas f3vij. 
Misce. 

A few drops are placed in the eye in irritable ophthalmia, 
as also to remove the conjunctival stains made by nitrate of 
silver. Mooefield's Hospital Pharm. 

724. Collyrium of Gallic Acid and Opium. 
B. Acidi Grallici gr. x; 

Glycerinas 3ij ; 

Extracti Opii gr. x ; 

Aquas f^ij. 
Misce et cola. 
Signa. — Apply a few drops to the eye night and morning. 

This is a mild astringent lotion, useful in cases of chronic 
ophthalmia. 

725. Strychnia Collyrium. 

B. Strychnias gr. ij ; 
Acidi Acetici diluti, 
Aquas destillatas, aa f^j. 
Fiat solutio. 

Signa. — A drop or two, diluted or not according to circum- 
stances, to be applied to the eye several times a day. 

Dr. Eyan on Amaurosis. 

[726. Collyrium of Atropia and Tanning 

B. Atropias Sulphatis gr. j ; 

Acidi Tannici gr. v-xx ; 

Grlycerinae puras f 3j ; 

Aquas Eosas f^j. 
Misce. 

In chronic, irritable, granular conjunctivitis. 

T. Gr. Morton. 

727. Collyrium of Corrosive Sublimate. 

B. Hydrargyri Chloridi Corrosivi gr. ij ; 

Ammonias Hydrochloratis gr. vj ; 

Aquas destillatas f^viij. 
Fiat solutio. 

The above may be advantageously used in gonorrhoea! or 
scrofulous ophthalmia, as also to remove opacity of the cor- 



COLLYBIA. 253 

nea, after the subsidence of inflammation. Known as Mac- 
kenzie's wash. 

728. Colly rium of Opium and Camphor. 

R. Extracti Opii gr. x; 

Camphorae gr. vj ; 

Aquas ferventis f^xij. 
Tere simul et cola. 

The anodyne nature of this preparation is supposed to afford 
some advantage over ordinary lotions, in painful affections of 
the eye. 

[729. Decoction of Quince Seed.] 

R. Cydonii Seminum 3ij ; 

Aquae destillatae Oj. 
Coque lente, per sextam partem horae et cola. 

A mild soothing application in acute ophthalmia. 

London Pharmacopoeia. 

730. Conradi's Collyrium. 

R. Hydrargyri Chloridi Corrosivi gr. j ; 

Decocti Cydonii (Formula 729)"f3j ; 

Aquae Kosas f^vj ; 

Yini Opii f3j. 
Fiat mistura. 

This collyrium is praised by most of the German oculists 
in cases of chronic ophthalmia. 

731. Bates's Camphorated Water. 

R. Cupri Sulphatis, 

Boli Armeniae, aa gr. viij ; 

Camphorae gr. ij ; 

Aquae bullientis f I viij. 
Fiat infusum et cola. 

This is used as a lotion in the purulent ophthalmia oi 
infants. 

732. Collyrium of Spirit of Minder er us and Camphor Water. 

R. Liquoris Ammonias Acetatis f oij ; 

Aquae Camphorae flyj. 
Misce. 

Signa. — For eyes requiring a mild astringent and stimulant 
application. 



254 COLLYRIA. 

733. Colly Hum of Spirit of Minder er us with Opium. 

R. Extracti Opii gr. x; 

Aquae ferventis f^vj. 
Solve, cola, et adde — 

Liquoris Ammoniae Acetatis f 3ij. 

Used in acute ophthalmia, when considerable pain remains 
after depletion. 

[734. Oollyrium of Corrosive Sublimate, Opium, etc."] 

R. Hydrargyri ChlOridi Corrosivi gr. J; 
Extracti Opii Aquosi gr. viij ; 
Decocti Cydonii f5ss; 
Aquae Rosae f^iv. 

Misce. 

Eor application after the removal of the foreign bodies, or 
in superficial burns. T. Gr. Morton. 

735. Emollient Oollyrium. 

R. Altheae contusae 3ij ; 
Aquae destillatse Oj. 
Macera per horas tres, et cola. 

In inflammation of the conjunctiva accompanied with vio- 
lent irritation. 

736. Colly rium of Poppies and Camphor. 

R. Decocti Papaveris, Lond. f aiv ; 

Aquae Rosae, 

Aquae Camphorae, aa fsij. 
Misce. 

This is adapted to the early stages of ophthalmia. 

737. Oollyrium of Wine of Opium. 

R. Yini Opii, 

Aquae destillatae, aa f 3ss. 
Misce. 

This is found beneficial in rheumatic ophthalmia, when all 
the febrile symptoms are gone, and little more than lingering 
redness with weakness of the eye remains, by being dropped 
into the eye twice daily. Mackenzie. 



INJECTIONS. 255 

738. Colly rium of Conia. 

R. Comae partes ij ; 

Alcoholis partes xiij ; 

Aquae destillatae partes cc. 
Fiat sokitio. 

Employed in scrofulous ophthalmia, with intolerance of 
light, by rubbing it around the orbits, or dropping it in the 
eye several times a day. 

Conia, the active principle of conium maculatum, is a viru- 
lent poison, and therefore care is requisite, even in its exter- 
nal use. Fronmuller. 

739. Guthrie 1 s Ointment. 

R. Argenti Nitratis gr. ij ; 

Liquoris Plumbi Subacetatis n^xv ; 

Unguenti Cetacei, Lond., 3j- 
Fiat unguentum. 

" The manner of using the ointment, is by introducing be- 
tween the lids a portion, larger or smaller, as the case may 
seem to require, from the size of a large pin's head to that of 
a garden pea." Guthkie. 

[740. Colly rium of Nitrate of Silver and Atropia.] 

R. Argenti JSTitratis gr. ij; 

Atropiae Nitratis gr. j ; 

Aquae destillatae f Jj. 
Misce. 

In atonic ulceration of the cornea. T. G. Morton. 

741. Ointment of Bed Precipitate and Sutyhate of Zinc. 

R. Hydrargyri Oxidi Eubri gr. x; 

Zinci Sulphatis 9j ; 

Adipis 5ij. 
Fiat unguentum. 

Eecommended by Professor Dupuytren in obstinate chronic 
ophthalmia depending on a scrofulous diathesis. 



B. — INJECTIONS. 

Injections are liquid compositions of emollient, astringent, 
or stimulating substances. The parts into which they are 



256 INJECTIONS. 

thrown are the external auditory passages, the nostrils, the 
canal of the urethra, the bladder, and the vagina; and also 
into fistulous cavities, and into the tunica vaginalis in the 
case of hydrocele. 

A. — FO R THE E AE. 
742. Camphorated Injection of Cajeput Oil. 

R. Camphorae 3iv ; 
Olei Cajuputi f 3vij ; 
Olei Amygdalae Dulcis f 3xv. 
Tere simul. 

Sigrja. — A few drops to be dropped into the ear, in cases of 
dulness of hearing, from hardened wax, or dryness of the 
membrane. Eadius. 

743. Goulard? s Extract and Rose Water. 

R. Liquoris Plumbi Subacetatis f 5j ; 

Aquae Bosae f^j. 
Misce. 

Signa. — This is to be dropped into the ear until the meatus is 
full, and be allowed to remain there for a few minutes. 

Used in otorrhoea. Wilde. 

744. Mixture with Bates's Alum Water. 

R. Liquoris Aluminis Compositi, Lond n f 5j ; 

Aquas Bosae fsj. 
Misce. 

Used in otorrhoea, in the same way as the preceding. 

Wilde. 

745. Mixture ivith Aqua Sappharina. 

R. Liquoris Cupri Ammonio-Sulphatis, Lond., f 3j ; 

Aquae destillatae f^j. 
Misce. 

Like the preceding, this is used as an astringent in otorrhoea. 

Wilde. 

746. Solution of Nitrate of Silver. 

R. Argenti Nitratis gr. x; 

Aquae destillatae f |j. 
Fiat solutio. 

Used in simple otorrhoea by painting the meatus and mem- 
brana tympani with a fine camel's hair pencil, dipped in the 



INJECTIONS. 257 

solution, every second or third day; and one of the three 
foregoing solutions is used in the interim, night and morning. 

Wilde. 

747. Another Form. 

R. Argenti Nitratis 3ss; 
Aquae destillatae f 5J. 
Fiat solutio. 

This is recommended to be applied every third day to the 
outer half of the meatus, and adjacent portion of the concha, 
in chronic inflammation or thickening of the membrane lining 
the tympanic cavity. J. Toynbee. 

[748. Injection of Sulphite of Soda.] 

R. Sodas Sulphitis 9j ; 

Aquae destillatae fjj. 
Fiat solutio. 

For injection into the meatus in otorrhcea, connected with 
ulceration of the tympanum, and disease of the bones. 

749. Injection of Pyroligneous Acid. 

R. Acidi Pyrolignei, Dub. f 3ij ; 

Aquas destillatae f Jvj. 
Fiat injectio. 

Signa. — To be injected twice a day with a silver syringe, in 
purulent discharge from the ear. Buchanan. 

750. Injection of Catechu. 

R. Catechu gr. xij ; 

Aquae bullientis f ^vj. 
Infunde et cola. 
Signa. — To be used four or five times a day. Buchanan. 

751. Pyroligneous Acid, Ether, and Turpentine. 

K. Acidi Pyrolignei, Dub., 

Spiritus iEtheris Sulphurici, Ed., 
Olei Terebinthinae, aa partes aequales. 
Misce. 

Signa. — Introduce two drops into the meatus auditorius exter- 
nus every night, when the cerumen is deficient in quantity. 

Buchanan. 
17 



258 INJECTIONS. 

752. Injection of Creasote. 

R. Creasoti gtt. ij ; 

Alcoholis gtt. x ; 

Syrupi f 3j ; 

Aquae f3vij. 
Misce. 

To be used like the foregoing. 

753. Solution of Sulphate of Cadmium. 

R. Cadmii Sulphatis gr. viij ; 

Aquae f^j. 
Fiat solutio. 

Used in otorrhoea, as an alterative and astringent to arrest 
the discharge. Lincke. 

B. — FOE THE NOSTEILS. 

Injection into the nostrils may be made by an ordinary 
glass or metallic syringe, pressed firmly into the anterior 
nares, the pipe of the syringe being directed backward, 
parallel with the roof of the mouth. The most efficient 
means, however, of bringing medicinal solutions in contact 
with the nasal membranes, is the use of the Thudichum 
douche, consisting of a bottle or other reservoir, having an 
aperture near its bottom, to which is attached a rubber tube, 
having at its extremity a plug capable of completely stopping 
the external nostril. In using it the medicated fluid is put 
into the bottle, the plug of the tube inserted tightly into the 
nostril, the mouth opened wide, and forcible respiration made 
through it ; when the bottle is raised above the level of the 
head, the liquid passes by gravitation into one nostril, filling 
the maxillary sinuses upon that side, and, not being able to 
pass into the pharynx from the closure of the posterior nares, 
is carried around the septum into the meatus of the other 
side, and passes from the other nostril, thus washing out the 
whole nasal apparatus, with its connecting sinuses, maxillary 
and frontal, without running down the throat. It is necessary 
to use great care in keeping the mouth open wide, and breath- 
ing forcibly, otherwise the fluid will run down the throat, 
and cause suffocation. 

The ordinary injection used by Dr. Thudichum in ozsena or 
nasal catarrh, consists of a tablespoonful or two of common 



INJECTIONS. 259 

table salt in a pint of tepid water. Other formulas are as 
follows, all of which I have used with good results: — 

[754. Douche of Permanganate of Potassa.] 

R. Potassas Permanganatis gr. xvj ; 

Aquas puras Oj. 
Misce. 

Signa. — Use, three or four times daily, about two or three 
tablespoonfuls at a time. 

[755. Douche of Iodide of Zinc and Permanganate of Potassa.] 

R. Potassas Permanganatis gr. xvj ; 

Zinci Iodidi 3ss; 

Tincturas Myrrhas fsij ; 

Aquae Oj. 
Signa. — Use three or four times daily. 

In ozasna, offensive nasal discharge, and frontal pain from 
disease of the sinus. 

[756. Douche of Hyposulphite of Soda.'] 

R. Sodas Hyposulphitis 3iij ; 

Aquas Oj. 
Misce. 
Signa. — As above, for the same conditions. 

[757. Douche of Alum.] 

R. Aluminis 9iv; 

Aquas Oss. 
Misce. 

For epistaxis. 

[758. Douche of Perchloride of Iron,] 

R. Ferri Perchloridi 9iv ; 

Aquas Oss. 
Misce. 

For epistaxis ; also catarrh. 

C. — FOR THE URETHRA. 

When injections are employed in the cure of gonorrhoea, 
two circumstances merit especial attention, viz., the manner of 
injecting them and the frequency of using them. "When the 
common syringe is used, the pipe should be perfectly smooth, 



260 INJECTIONS. 

short, and conical, so that it cannot pass more than a quarter 
of an inch into the urethra. The patient should oil the pipe 
before using it, seat himself on the edge of a chair, so as to 
avoid pressing the perineum, draw the penis forward on the 
syringe with the left hand, and throw up the injection to the 
seat of disease (previously ascertained) with the other. As 
respects the frequency of injecting, it may be observed, that 
five or six times a day are not too often, and that the cure 
will be retarded by using these remedies at longer intervals. 
We cannot forbear remarking that gonorrhoeal inflammation, 
situated near the extremity of the penis, can be often cured 
by a routine plan; but when seated higher up the canal, and 
affecting Cowper's glands or the prostate, it becomes a serious 
disease, the cure of which ought not to be undertaken by 
persons ignorant of the structure of the parts and the nature 
of morbid action. 

759. Nitrate of Silver. 

This article is extensively used, both in gonorrhoea and 
gleet. Some practitioners employ a weak solution, of two or 
three grains to the ounce of rosewater, twice a day. Others 
prefer ten grains to the ounce, aud employ the injection every 
second or third day. Another class prefer an ointment of ten 
or twenty grains to the ounce, and smear this over a bougie, 
which is then passed into the urethra. In acute gonorrhoea, 
either of the latter plans will frequently arrest the disease in 
a few days. In gleet, perhaps, the first plan is preferable. 

760. Injection of Opium. 

E. Extracti Opii 9j ; 

Glycerinae f oj ; 

Aquae f^iij. 
Misce. 
Signa. — Use after every passage of urine. 

This affords great relief to the local pain and uneasiness, 
and causes a diminution of the discharge in gonorrhoea. 

F. J. Bumstead. 

761. Injection of Corrosive Sublimate, etc. 

B. Zinci Sulphatis gr. x ; 

Hydrargyri Chloridi Corrosivi gr. ij ; 

Aquae Eosae f^viij. 
Fiat injectio. 

In sleet. 



INJECTIONS. 261 

This powerful remedy should be employed with great cau- 
tion. 

762. Injection of Sulphate of Zinc and Laudanum. 

B. Zinci Sulphatis gr. x ; 

Pulveris Acaciae 3ij ; 

Tincturae Opii f 3j ; 

Aquae destillatae f ^viij. 
Fiat injectio. 

In gonorrhoea virulenta. 

763. Injection of Sulphate of Zinc and Acetate of Lead. 

B. Zinci Sulphatis, 

Plumbi Acetatis, aa gr. xx; 

Aquae Eosae f^iv. 
Misce. 
Signa. — Shake the bottle before using. 

Although mutual decomposition of the salts takes place, the 
resulting mixture forms an excellent injection for gonorrhoea. 

Eicokd. 

764. Injection of Muriate of Ammonia, etc. 

B. Ammoniae Muriatis gr. j ; 

Hydrargyri Ohloridi Corrosivi gr. ij ; 

Aquae destillatae f^iv. 
Fiat injectio. 

In chronic gonorrhoea. 

765. Injection of Acetate of Zinc. 

B. Zinci Acetatis gr. viij ; 

Aquae Rosae f siv. 
Fiat injectio. 

In gonorrhoea virulenta. 

For all these preparations, rosewater is an admirable men- 
struum ; it possesses the advantages of being slightly astrin- 
gent and rendered pure by distillation, and is therefore par- 
ticularly applicable to the formation of injections and collyria. 

766. Injection of Chloride of Zinc. 

B. Zinci Chloridi gr. j ; 

Aquae f^j. 
Fiat solutio. 



262 INJECTIONS. 

This injection has been used in St. Bartholomew's Hospital, 
London, with much success, by Mr. Lloyd, in cases of gonor- 
rhoea. Mr. Weeden Cooke recommends the simultaneous 
employment of the alkaline carbonates internally. 

767. Injection of MonseVs Salt. 

R. Liquoris Ferri Subsulphatis fjss; 

Aquae f^vj. 
Solve. 
Signa. — Use for an injection. 

Eecommended in gleet. Bumstead. 

768. Injection of Sulphate of Iron. 

R. Ferri Sulphatis gr. viij ; 
Aquae f §j. 

Fiat solutio. 

Used in gleet. 

769. Injection of Iodide of Iron. 

R. Ferri Iodidi 3ss ; 

Aquae f 3 viij. 
Fiat solutio. 

Used in blennorrhoea. Kicokd. 

770. Injection of Sulphate of Quinia. 

R. Quiniae Sulphatis gr. viij ; 
Aquae f §j ; 
Acidi Sulphurici diluti q. s. ut flat solutio. 

Used in gonorrhoea. Goddard. 

771. Injection of Chlorate of Potassa. 

R. Potassae Chloratis 3ss ; 

Aquae f ^v. 
Fiat solutio. 

This has been used in a number of cases of gonorrhoea, 
speedily effecting a cure. A. S. Palmer. 

[772. Injection of Permanganate of Potash.] 

R. Potassae Permanganatis gr. j-ij ; 
Tincturae Myrrhae f 3ij ; 
Aquae f 3vj. 

Misce. 

In gonorrhoea. 



INJECTIONS. 263 

773. Injection of Calomel, etc. 

B. Hydrargyri Chloridi Mitis 3j J 

Acaciae 3ij ; 

Tincturae Opii f oSS ; 

Aquas f ^viij. 
Fiat injectio. 

For gonorrhoea or gleet. 

774. Injection of Sulphate of Copper. 

B. Cupri Sulphatis gr. vj ; 

Aquae destillatae f^vj ; 

Tincturae Opii f3j. 
Fiat solutio. 

To be thrown up the urethra in chronic gonorrhoea. 

775. Injection of Yellow Root {Hydrastis Canadensis). 

B. Eadicis Hydrastidis contusae §j ; 

Aquae bullientis Oj. 
Macera per horas duas, et cola. 
Signa. — Inject an ounce three times daily. 

Dr. D. M. McCann, of Martinsburg, recommends highly this 
injection in gonorrhoea. 

Dr. U. E. Ewing also speaks favorably of it; but he directs 
a drachm of sulphate of copper to be dissolved in the infusion. 

776. Injection of Tea. 

B. Folii These Yiridis 3j ; 

Aquae ferventis f^vj. 
Fiat infusum et cola. 

For an injection in gonorrhoea virulenta. 

777. Iiijection of Copaiba. 

B. Copaibae 3v ; 

Yitellum unius ovi ; 

Extracti Opii gr. j. 
Tere simul, et adde gradatim — 

Aquae f^vij. 
Misce. 
Signa. — Inject a portion several times daily. 

This is an efficacious mode of treating gonorrhoea. 

Dallas. 



264 VAGINAL INJECTION'S. 

778. Injection of Ammoniated Copper. 

R. Cupri Ammoniati gr. v; 

Aquas Kosas f^viij. 
Fiat solutio. 

In chronic gonorrhoea. 

779. Solution of Tannin. 

R. Acidi Tannici gr. xxxij ; 

Aquas destillatas f^viij. 
Solve. 

Employed as a wash to chronic ulcers, and as an injection 
in obstinate blennorrhoea. — Bebal, in Dung-lison's New Re- 
medies, 6th ed. p. 45. 

780. Injection of Strychnia. 

R. Strychnias gr. j ; 

Acidi Nitrici "lij ; 

Aquas f^j. . 
Fiat solutio. 
Signa. — Inject a drachm three times a day after urination. 

Used in gleet. Johnson. 



C— VAGINAL INJECTIONS. 

781. Injection of Permanganate of Potassa. 

R. Potassas Permanganatis gr. xx; 

Aquas Oj. 
Solve. 

Used in cancer of the womb for its alterant and deodorant 
effect, also in fetid lochial discharge in puerperal fever, a 
small quantity being injected several times daily. 

D. F. Giewood. 

782. Injection of Greasote. 

R. Creasoti ^xij ; 

Mucilaginis Tragacanthas ^ij ; 

Aquas ferventis flxiv. 
Fiat mistura. 

Eecommended for the removal of the fetid and vitiated se- 
cretions from the maternal passages in puerperal fever. Warm 



INOCULATION AND INJECTIONS. 265 

water is thrown up to wash out the vagina, and the injection 
is then used. It is employed in the same way for cancer of 
the womb. Mackenzie. 

783. Injection of Labarraquds Solution. 

R. Liquoris Sodas Chlorinatas f %} ; 

Aquas f 3x. 
Misce. 

Prescribed as a vaginal wash in cases of infection produced 
by the decomposition of a retained placenta. Tkousseau. 

784. Injection of Mustard. 

R. Pulveris Sinapis Albas 3ij ; 

Aquas ferventis Oj. 
Misce. 
Signa. — Inject a third part three times daily. 

Useful in amenorrhoea. S. Ashwell. 

785. Vaginal Pessary of Tannic Acid. 

R. Ceras Albas 9v. 

Liquefac cum leni calore, et adde — 

Adipis 3yj ; 

Acidi Tannici 9ij. 
Tere bene et divide in pessos iv. 

Used in leucorrhosa and gonorrhoea of females. 

Simpson. 

786. Vaginal Pessary of Alum and Catechu. 

R. Olei Theobromas 3ij ; 

Aluminis, 

Pulveris Catechu, aa 3j- 
Misce secundum artem et divide in pessos vj. 

Useful in chronic vaginitis and leucorrhcea. 



Inoculation and Subcutaneous Injection of Medicines. 

Inoculation. — The introduction of medicines into the skin 
by inoculation was proposed in 1836 by M. Lafargue, and has 
since been practised by M. Solon and M. Langenbeck. The 
latter has tried a number of experiments, whereby the value 
of this mode of medication has been fully proved. Inocula- 
tion is effected by making a number of punctures with a small 



266 INOCULATION AND INJECTIONS. 

lancet through, the skin — including both the epidermis and 
the dermis — and rubbing the medicine, previously dissolved 
in the smallest possible quantity of fluid, into the punctured 
part. Some local irritation follows the operation. In this 
way, solutions of morphia, strychnia, quinia, iodine, corrosive 
sublimate, and of the various narcotic extracts, have been em- 
ployed with much success. The quantity of medicament used 
is about double of what would be administered by the mouth. 
Inoculation has proved effectual in sciatica, neuralgia, and 
local pains ; but it has not, however, attracted much attention 
from practical physicians. 

Subcutaneous Injection of medicines is more efficacious 
than inoculation, as in this way remedies can be more readily 
and certainly introduced. The operation is performed by 
means of a syringe capable of holding a nuidrachm, and 
having its perforated nozzle drawn to a point, by which the 
skin can be penetrated by a gentle rotary motion. Or a deli- 
cate trocar and canula may be used. The trocar having been 
withdrawn, the injection is made by a syringe through the 
canula. After the operation there are usually some swelling, 
tenderness, or pain, and a diffused redness of the skin. These 
local phenomena soon pass away, and the symptoms charac- 
teristic of the medicine are manifested on the system. No 
unpleasant local results need be anticipated, unless the quan- 
tity employed be large, or the remedy be of an acrimonious 
character. In all cases strong solutions are used, with a view 
of combining efficiency with smallness of bulk. 

A source of trouble in giving hypodermic injections exists 
in the occasional introduction of air through the syringe 
beneath the skin, the effect of which is generally to produce 
an abscess, very small usually, but still painful, and prevent- 
ing the introduction of the fluid at the same point, or even in 
its vicinity, for a considerable time after. To avoid this, 
great care must be used to get the instrument to work per- 
fectly air-tight, which can be tested by drawing up the fluid, 
and then discharging it under the surface without withdraw- 
ing it from the vessel in which the fluid is held ; if no air- 
bubbles are expelled from the nozzle, it is in proper working 
order. 

The following method of introduction has been found by the 
editor to answer better than the usual one, viz : having drawn 
the proper quantity of fluid into the syringe, with the nozzle 
applied, pinch up the skin, as far as possible, tightly between 
the thumb and forefinger of the left hand; then instantly 
plunge the needle of the instrument deep down into the eel- 



GAKGLES AND MOUTH WASHES. 267 

hilar tissue, at an oblique angle, nearly to the hilt of the 
syringe ; then slowly expelling the fluid, press the finger upon 
the skin over the needle as it is withdrawn, to prevent any 
escape of the fluid. This has been found to be much less 
painful than when the needle is slowly and gently insinuated, 
and much less likely to be followed by swelling and redness 
than when the fluid is inserted very near the surface. 

Saturated solutions of tannin, and of the peracetate, perchlo- 
ride, and persulphate of iron, have been injected for the 
destruction of nasvi and small aneurisms. 

Dr. Alexander Wood, of Edinburgh, reported nine cases of 
neuralgia, in 1855, treated by injections of a strong solution 
of opium, over the seat of pain. In all relief was afforded, 
and in most a cure was effected. 

Dr. Horatio E. Storer injected, successfully, ten drops of a 
solution of the bimeconate of morphia (bimeconate gr. x, 
alcohol f 3j? and water f^xiij), beneath the mucous membrane 
of the gum for the relief of toothache in pregnant women. 
Dr. Scanzoni speaks favorably of the same preparation for 
neuralgia, and even for puerperal convulsions. 

Mr. Charles Hunter, of London, employed concentrated 
solutions of the acetate of morphia in cases of chorea, tic 
douloureux, delirium tremens, and hemicrania. The doses 
ranged from a half to three-fourths of a grain of the acetate. 
In every instance the peculiar effects of morphia were soon 
manifested. 

Drs. Courty and Cowdell report, severally, the injection of 
atropia, or its sulphate, in doses ranging from one-thirty-third 
to one-eighth of a grain in asthma, sciatica, and severe neural- 
gias. If the atropia be pure, these quantities are too large 
for ordinary use. 

Dr. Ignatius Danger, of Iowa, refers to twenty-three cases 
of intermittent fever cured by injections of sulphate of quinia. 
" He administered a solution of two to ten grains of sulphate 
of quinia in fifteen to thirty grains of water (with an addition 
of two to six drops of diluted sulphuric acid), according to 
age, constitution, duration of disease, and former treatment." 



D. — GARGLES AND MOUTH WASHES. 

Gargles, like injections, are astringent and stimulating, and 
to be of any service must be frequently applied, and perse- 
vered in for some time. 



268 GAEGLES AND MOUTH WASHES. 

[787. Gargle of Sage and Flaxseed.} 

R. Salvias 3ij ; 

Seminis Lini ij ; 

Aquas bullientis Oj. 
Macera cum leni calore per duas horas; cola. 

An excellent gargle in the acute stage of pharyngitis or 
tonsillitis, when irritating and astringent applications are 
injurious. To be used cold. J. F. Meigs. 

788. Gargle of Brandy. 

R. Spiritus Yini Grallici, 
Aquas, aa partes asquales. 

Brandy and water form an excellent gargle for some cases 
of inflamed fauces. 

789. Gargle of White Oak Bark and Alum. 

R. Querciis Albas contuses 3j; 

Aquas Ojss. 
Coque ad Oj, cola, et adde — 

Aluminis 3ss ; 
Spiritus Yini Gallici f^ij. 
Misce. 

Used in sore throat and chronic ulceration of the fauces. 

790. Gargle of Sulphate of Quinia, etc. 

R. Quinias Sulphatis gr. xij; 
Cupri Sulphatis gr. xvj ; 
Acidi Sulphurici Aromatici f 3j ; 
Aquas flviij. 
Fiat mistura. 

Signa. — To be used three or four times a day in obstinate 
sore throat. Jos. Haetshoene. 

791. Gargle of Borax and Myrrh. 

R. Sodas Boratis 3j ; 

Tincturas Myrrhas fsss; 

Mellis despumati f sj ; 

Aquas Eosas f 3iv. 
Fiat gargarysma. 

To be used as a gargle or mouth wash, in ptyalism or scor- 
butic affections of the gums. 



GARGLES AND MOUTH WASHES. 269 

[792. Mouth Wash of Borax and Honey. 1 

R. Sodae Biboratis 3j ; 

Glycerinae f 3j ; 

Mellis despumati f 3yj. 
Misce. 

For application in aphthous ulceration of the mouth. 

P. Squire. 

793. Gargle of Sulphate of Zinc, etc. 

R. Zinci Sulphatis 3j 5 

Mellis f^ss; 

Tincturse Myrrhae f ,?j ; 

Spiritus Yini Gallici f oj ; 

Aquae Eosae f^vj. 
Fiat gargarysma. 

To be applied to ulcerated gums, occasioned by excessive 
salivation. Water can be added if it be too strong. 

794. Dr. Blake's Toothache Solution. 

R. Aluminis (in pulverem subtilissimum triturandi) 3ij ; 

Spiritus iEtheris Nitrosi f3vij. 
Fiat mistura. 

Said by Dr. Blake, of London, to be an infallible cure for 
toothache, when not connected with rheumatism. 

795. Gargle of Alum. 

R. Aluminis 3ij ; 

Aquae f^iv. 
Solve. 

This is Dr. Cavarra's gargle for fcetor oris, or offensive breath. 

796. Gargle of Pomegranate and Alum. 

R. Granati Fructus Corticis 3ss; 

Eosae Gallicae 3ij ; 

Aquae bullientis fivj. 
Fiat infusum. Cola et adde — 

Mellis despumati f %j ; 

Aluminis 3ij- 
Fiat gargarysma. 

For inflammation of the throat and fauces. 



270 GAEGLES AND MOUTH WASHES. 



[797. Gargle of Pomegranate, Chlorate of Potash, etc.'] 

R. Corticis Granati Fructiis 3ss; 

Potassas Chloratis 3ij ; 

Quercus Albas contusas 3j ; 

Aluminis ^ss ; 

Aquas bullientis Oij. 
Fiat infusum. Cola. 

In subacute and chronic pharyngitis. L. C. Heyl. 

798. Gargle of Rhatany. 

R. Pulveris Krameriae, 

Pulveris Cinnamomi, aa £j ; 

Aquas bullientis f 3vij. 
Macera per horas duas, cola, et adde — ■ 

Sacchari §ij. 
Fiat gargarysma. 

A valuable astringent gargle in ordinary sore throat. 

799. Muriatic Acid and Peruvian Bark Gargle. 

R. Infusi Cinchonas Eubras f^iv; 

Mellis despumati f 3j ; 

Acidi Muriatici nix. 
Fiat gargarysma. 

In chronic inflammation, when the pain and swelling have 
been rednced by depletion. Eatier's Formulary. 

800. Detergent Gargle of Sulphuric Acid, etc, 

R. Decocti Hordei f liv ; 
Mellis despumati fiss ; 

Acidi Sulphurici n^x. 
Fiat gargarysma. Eatier. 

801. Mercurial Gargle. 

R. Hydrargyri Chloridi Corrosivi gr. j ; 

Mellis despumati f 3ss; 

Aquas destillatas f^iv. 
Fiat solutio. 

For venereal sore throat. Batier. 



GARGLES AND MOUTH WASHES. 271 

802. Sal Ammoniac and Acetic Acid Gargle. 

B. Acidi Acetici f 3ij ; 

Ammonia Muriatis 3j ; 

Mellis f 5Jss ; 

Aquae f^xij. 
Fiat gargarysma. 

For inflamed fauces. Eatiee. 

803. Gargle of Acetate of Lead. 

B. Plumbi Acetatis 3ss ; 

Syrupi^j; 

Decocti Hordei Oj. 
Fiat solutio. 

In mercurial sore mouth, etc. Eatier. 

804. Chloride of Lime Gargle. 

B. Calcis chlorinatae 3ij ; 

Aquae Oj. 
Solve et cola. Dein adde — 

Mellis ilj. 
Misce. 

Used in ulceration of the mouth and throat. 

805. Disinfecting Mouth Wash. 

B. Calcis Chlorinatae 3iij ; 

Aquae destillatae f sij. 
Tere simul et ultra. Dein adde — 

Olei Eosae ntv ; 

Alcoholis f^ij ; 

Mellis Eosae fiss. 
Misce. 

Used in mercurial sore mouth. 

806. Cayenne Pepper Gargle. 

B. Tincturae Capsici f^ss; 

Aquae Eosae fSviij. 
Misce. 

A stimulating gargle used in scarlet fever. Griffiths. 



272 GAKGLES AND MOUTH WASHES. 

807. Mel JEgyptiacum. 
R. Linimenti JEruginis (Lond.) f 5j. 

This is applied with a brush to venereal ulcers of the 
throat. Diluted with water (one drachm to the ounce), it 
forms a detergent gargle. 

808. Gargle with Iodine and Opium. 

R. Tincturae Iodinii, 

Tincturae Opii, aa f 5j ; 

Aquae f^vj. 
Fiat gargarysma. 
Signa. — To be well shaken when used. 

This is employed three or four times daily in ulcerated sore 
throat. 

809. Lotion of Iodide of Zinc. 

R. Zinci Iodidi gr. x; 

Aquae destillatae f^j. 
Fiat solutio. 

Applied daily to enlarged tonsils, by a piece of sponge tied 
to a quill. J. J. Eoss. 

810. Mixture of Sulphuric Acid and Honey. 

R. Acidi Sulphurici f 3ss ; 

Mellis faj. 
Fiat linimentum. 

Used for aphthae, by touching the ulcerated surfaces fre- 
quently with a soft pencil. 

811. Wash of Sulphate of Copper, etc. 

R. Cupri Sulphatis 5ij ; 

Pulveris Cinchonae Pallidas 3ss ; 
Aquae destillatae f.liv. 
Misce. 

Signa. — In the gangrenous sore mouth of children, applied to 
the full extent of the ulceration and excoriation. 

B. H. Coates. 

Sulphate of zinc is often employed in like doses in this 
affection. 



273 

812. Gargle of Alum, Sage Tea, and Honey. 

R. Salvias 3ss; 

Aquae bullientis Oss. 
Fiat infusum, et cola. Dein adde — 

Alumnus 3ss ; 

Mellis f 3j. 
Fiat mistura. 

This domestic remedy is very effectual in cases of sore 
throat. 

813. Lotion of Muriatic Acid, etc. 

R. Acidi Muriatici f5ss; 

Mellis, 

Aquae Eosae, aa faj. 
Misce. 

Signa. — To be applied with a brush to scorbutic gums three 
or four times a day. 



E.— LINIMENTS, LOTIONS, ETC. 

814. Lotion of Lime-water, Zinc, etc. 

R. Zinci Oxidi gr. xij ; 

Cupri Sulphatis gr. iij ; 

Mellis f 3j ; 

Liquor is Calcis f^ij. 
Fiat lotio. 

Signa. — To be applied to phagedenic ulcers of the genitals. 

Vide Swediaur on Syphilis. 

815. Liniment of Lime-water and Linseed Oil {Carron Oil). 

R. Olei Lini f 3 iij ; 

Liquoris Calcis f^vj. 
Fiat linimentum. 

Signa. — To be applied to burns and scalds by means of a 
feather or soft rag. 

[816. Liniment of Carron Oil and Carbolic Acid.] 

R. Acid Carbolici liquidi f 3j ; 

01. Lini, 

Liq. Calcis, aa fliij. 
Misce, et ft. linimentum. 

For application in the sloughing stage of deep burns and 
carbuncles, or any phagedenic ulcer. 
18 



274 LINIMENTS, LOTIONS, ETC. 

[817. Liniment of Carron Oil, Aconite, etc.] 

R. Liquoris Calcis, 

Olei Lini, aa f^ss; 

Tincturas Aconiti foliorum, 

Tincturas Opii deodoratas, aa f 3ij ; 

Liquoris Plumbi Subacetatis f 3j. 
Fiat linimentum. 

A very efficient application to a recent burn or blister, or 
any erythematous condition of skin. L. C. Heyl. 

818. Gum and Molasses Mixture. 

E. Pulveris Acacias iiij ; 

Pulveris Tragacanthas ,?j ; 
Tere simul, et adde gradatim — 

Aquas fix ; 

Syrupi Fusci f §ij. 
Misce. 
Signa. — Apply over the burnt surface. 

Dr. T. H. Bache furnishes this, as the formula used in the 
Pennsylvania Hospital. By some of the surgeons this mix- 
ture is highly prized in the treatment of burns and extensive 
scalds. 

819. Lotion of Permanganate of Potassa. 

R. Potassas Permanganatis 3ss: 

Aquas Oj. 
Solve. 

Under the name of "Condy's Fluid" a solution of the per- 
manganate has been extensively employed in the London hos- 
pitals in cases of burns, ulcers, and extensive suppurating 
surfaces, with relief to the pain and a total prevention of any 
fetor. 

820. Liquid Deodorant. 

R. Spiritus Camphoras, 

Tincturas Myrrhse, aa f 3iij ; 

Linimenti Saponis f 3ij ; 

Acidi Acetici Grlacialis "ixx ; 

Olei Picis Liquidas fjj. 
Misce. 

This preparation, properly diluted, is an excellent applica- 
tion to sloughing or gangrenous parts, in consequence of its 



275 

deodorizing properties. It is also of service in cases of diar- 
rhoea or dysentery, for purifying the air of the chamber. A 
teaspoonful added to each liquid stool is sufficient to remove 
the odor, especially if a towel moistened with the lotion be 
waved for a few minutes in the room. T. Skinner. 

821. Lotion of Goulard's Extract and Camphor. 

R. Liquoris Plumbi Subacetatis f3j ; 

Spiritiis Camphors f^iij ; 

Aquae Oj. 
Fiat lotio. 

This compound is much recommended by some of the 
French surgeons. Applied by means of lint to old ulcers and 
burns. 

822. Another Form. 

R. Confectionis Kosae Ij ; 

Mellis, 

Liquoris Plumbi Subacetatis, aa f^ss; 

Tincturae Opii ffUx. 
Misce. 

Signa. — Applied to painful venereal ulcers, and to chancres 
after the use of lunar caustic. 

823. Lotion of Chloride of Zinc. 

R. Zinci Chloridi gr. ij ; 
Aquae destillatae fgj. 
Misce. 
Signa. — Applied on lint to chronic and indolent ulcers. 

Hancke. 

[824. Lotion of Potassa and Hydrocyanic Acid.'] 

R. Potassae Fusae gr. v; 

Acidi Hydrocyanici diluti fllxl ; 

Aquae Kosarum f|j. 
Misce. 
Signa.— Sponge the parts night and morning. 

In the itching pain of chronic eczema. 

McCall Anderson. 

825. Lotion of Sulphuret of Potassium. 

R. Potassii Sulphured 3ij ; 

Aquse Oj. 
Solve. 



276 

This lotion proves almost magical in its effects in cases of 
pityriasis. It may be applied with a brush or sponge. 

J. ISTeill. 

826. Lotion of Sulphuret of Potassium, Lime-water, etc. 

R. Potassi Sulphureti 3ss; 
Saponis 3j ; 
Alcoholis f^iv ; 
Tincturas Myrrhae f^ss; 
Liquoris Calcis Oj. 
Fiat mistura secundum artem. 

Signa. — To be applied to the head night and morning, in tinea 
capitis. The hair must be shaved previous to its employ- 
ment. 

827. Lotion of Phosphoric Acid. 

R. Acidi Phosphorici Glacialis 3j ; 

Aquae destillatae f^viij. 
Fiat solutio. • 

Dr. Lentin, a German physician, has employed this solution 
on compresses applied to ulcers situated over carious bones. 
Spillan's Supplement to the British Pharmacopoeias. 

828. Lotion of Corrosive Sublimate, etc. 

R. Hydrargyri Chloridi Corrosivi 5j ; 

Aquas f£vj. 
Solve et adde — 

Ammonise Muriatis 3ij ', 

Potassas Nitratis ^ss. 
Fiat lotio. 

Principally used as a wash in itch. 

Good's Study of Med., vol. iv. 

829. Yellow Wash. 

R. Hydrargyri Chloridi Corrosivi gr. j ; 
Liquoris Calcis f|j. 

Fiat solutio. 

For ordinary purposes, one grain to the ounce will be suffi- 
cient. 

In phagedenic and venereal ulcers. 



LINIMENTS, LOTIONS, ETC. 277 

830. Black Wash. 

R. Hydrargjri Chloridi Mitis 3j ; 

Liquoris Calcis f^iv. 
Misce. 
Signa. — The bottle to be well shaken before using. 

This prescription is used in the same cases as the other. 
The red oxide in that, and the black oxide of mercury in 
this, are precipitated by the lime-water. They are sometimes 
administered in the form of injections in gleet and gonorrhoea. 

831. Lotion of Cyanide of Potassium. 

R. Potassii Cyanidi gr. xij ; 

Misturae Amygdalae f^vj. 
Fiat lotio. 

Id lichen, and other chronic eruptions. 

832. Liniment of Chlorine. 

R. Aquae Chlorinii f 3j ; 

Olei Olivae f j§j. 
Fiat linimentum. 

Applied externally to itch, herpes, and tinea capitis. 

Dunglison's New Remedies, 6th ed., p. 195. 

833. Lodine Liniment. 

R. Linimenti Saponis f ,lj ; 

Tincturae Iodinii f3j. 
Misce. 

834. Creasote Liniment. 

R. Creasoti t^x. 

Olei Olivae fSj. 
Fiat linimentum. 



In herpes, etc. 



835. Creasote Lotion. 



R. Creasoti n^x; 

Aceti f 3ij ; 

Aquae destillatae f^ij. 
Fiat lotio. 

Applied in phagedenic ulceration. 



278 

836. Camphorated Oil. 
R. Cainphoras Ej ; 

Olei Olivas f liv. 
Fiat solutio ; tunc adde — 

Olei Terebinthinas f 5ss. 
Misce. 
Signa. — To be applied by rubbing with a piece of flannel. 

Used in deep-seated rheumatic pains. 

837. Stokes' 's Liniment. — Linimentum Album. 

R. Olei Terebinthinas f^iij ; 

Olei Limonis f 3j. 
Misce, et adcle, secundum artem — 

Vitellum unius ovi ; 

Aquas Kosas f ^iij ; 

Acidi Acetici f^ss. 
Tere simul. 

A stimulating liniment having been much prescribed in 
Baltimore under the above name, the College of Pharmacy of 
that city has adopted this formula. It is an efficient prepara- 
tion. 

838. Liniment of Cantliarides and Camphor. 

R. Tinctures Cantharidis f^iv. 

Camphoras ^ss. 
Misce. 
Signa. — To be rubbed on the parts affected. 

In paralysis. 

839. Liniment of Camphor, Carbonate of Ammonia, Amber, etc. 

R. Spiritus Camphoras f^iv ; 

Ammonias Carbonatis 3ss ; 

Olei Juniperi, 

Olei Succini, aa f3ij. 
Misce. 

To be employed in like manner, and in the same cases as 
the former. 

840. Liniment of Camphor and Acetic Acid. 

R. Spiritus Camphoras f^iij ; 

Acidi Acetici f^j. 
Fiat embrocatio. 

To be applied to bruises, rheumatic parts, etc. 



LINIMENTS, LOTIONS, ETC. 279 

841. Liniment with Ammonia and Olive Oil; vulgo, Volatile 

Liniment. 

R. Olei Olivas, 

Aquas Ammonige, aa f *j. 
Misce. 

Applied to the neck in inflammation of the throat. 

842. Liniment of Ammonia and Tartarized Antimony. 

R. Linimenti Ammonias f^j; 

Antimonii et Potassas Tartratis 5j. 
Misce. 

Applied to indolent tumors, and other swellings. 

843. Liniment of Oil of Amber, etc. 

R. Olei Succini f 3ij ; 

Olei Olivae f Iss ; 

Tinctures Opii f3ij ; 

Spiritus Yini Gallici f Jiij. 
Fiat linimentum. 
Signa. — To be rubbed between the shoulders. 

In pertussis. 

[844. British Oil] 

R. Olei Terebinthinas, 

Olei Lini, aa f^viij ; 

Olei Succini, 

Olei Juniperi, aa f ^iv ; 

Petrolei Barbadensis f ^iij ; 

Petrolei Americani f^j. 
Misce. 

An active rubefacient in sprains, etc. 

[845. Liniment for Scabies.] 
R. Petrolei, 

Alcoholis, aa f ^j ; 

Balsami Peruviani f3j ; 

Olei Eosmarini, 

Olei Lavandulae, aa tt^xv. 
Misce. 

To be applied several times daily, after bathing with soap 
and hot water, in cases of delicate skin. Hebra. 



280 

[846. Sulphuretted Soap Liniment^ 

R. Potassii Sulphur eti jfiij ; 

Saponis ^xij ; 

Aquas q. s. 
Misce cum calore ; dein adde — 

01 ei Olivas f ^xij ; 

01 ei Origani f3j. 
Misce. 

A very efficient liniment for itch and other parasitic skin 
disease. Jadelot. 

847. Liniment of Oils of Cloves, Amber, and Olives. 

R. Olei Caryophylli, 

Olei Succini rectificati, aa ^ss ; 

Olei Olivas 3j. 
Tere simul. 

Used as an embrocation in hooping-cough. Eoche. 

848. Liniment with Nux Vomica. 

R. Tincturas Nucis Yomicas f Ej ; 

Aquas Ammonias f3ij. 
Misce. 

This is applied by friction, in paralytic and nervous diseases. 

Magexdie. 

849. Anti-psoric Lotion of Dupuytren. 

R. Potassii Sulphureti ^iv ; 
Aquas Oj ; 

Acidi Sulphurici diluti f 3iv. 
Misce. 

Signa. — To be applied two or three times a day on the parts 
covered with pustules, and with this treatment the simple 
bath is conjoined. 

850. Compound Opiate Liniment. 

R. Tincturas Opii, 

Spiritus ^Etheris Sulphurici, Ed.; 

Spiritus Camphoras, aa f 3ij. 
Fiat embrocatio. 
Signa. — To be applied to rheumatic parts. 

Also, in odontalgia, pain in the region of the ear, etc. 



281 



851. Another Form. 
R. TincturaB Opii, 

Spiritus CamphoraB, 

TincturaB Cantharidis, 

iEtheris, aa f^ss. 
Fiat embrocatio. 

Useful in intercostal and other pains. S. Ashwell. 

852. Liniment of Opium, Subacetale of Lead, etc. 

R. Olei Olivasfsij; 

TincturaB Opii f 3ij ; 

Liquoris Plunibi Subacetatis flss. 
Misce. 

853. Compound Chloroform Liniment. 

R. Chloroformi, 

iEtheris, 

Spirit"ds CamphoraB, 

TincturaB Opii, aa f 3j ; 

TincturaB Capsici f 3ss. 
Misce. 

This forms an excellent embrocation for rheumatic pains, 
sprains, etc. 

854. Liniment of Petroleum, Camphor, etc. 

R. Petrolei Barbadensis, f oj ; 

CamphoraB iss ; 

Alcoholis n^xl. 
Fiat linimentum. 

Powder the camphor by adding the spirit, and then mix the 
whole in a mortar. 

[855. Liniment of Origanum, Camphor, etc.~\ 

R. Alcoholis Oj ; 

Olei Olivse fsiij ; 

Olei Origani f^iij ; 

TincturaB CamphoraB f 3 iij ; 

Olei Britannici (Formula 844) fgj. 
Misce, et fiat linimentum. 

A very efficient anodyne and stimulant application for 
bruises, sprains, etc. L. C. Heyl. 



282 

Glycerin. 

This principle, which is demulcent and antiseptic, forms a 
very useful addition to lotions and gargles. It has been used 
extensively by Mr. Startin, surgeon to the London Cutaneous 
Institution, and he has published several formulas for its 
employment. Two of them are subjoined, viz: — 

856. Lotion of Borax and Glycerin. 

R. Sodas Boratis 3ss ; 

Aquas Eosas flvijss; 

Glycerinas f^ss. 
Fiat mistura. 

Used for chapped hands, fissures of the lips, sore nipples, 
and irritation of the skin of any kind. Stabtix 

857. Lotion of Ammonia, Glycerin, etc. 

B. Spiritus Ammonias Aromatici f^j ; 

Glycerinas f ^ss ; 

Tincturas Cantharidis f 5j ; 

1 Aquas Eosmarini f^vij. 
Misce. 
Signa. — To be used with a wet hair-brush once or twice a day. 

Employed for alopecia following fevers, or for falling off of 
the hair, dryness or want of action of the scalp, thinness of 
the hair, etc. Staetik. 

[858. Glycerin Cream.'] 
B. Glycerinas, 

Saponis Mollis puri, 

Aquas Lauro-cerasi, aa f ^j. 
Misce. 

For chilblains, chaps, and excoriations. P. Squiee. 

[859. Liniment of Glycerin and Camphor.'] 

R. Glycerinas f Ij ; 

Camphoras Iss; 

Alcoholis f^ss. 
Misce secundum artem. 

For superficial burns, irritable condition of the skin. 

P. Sqttiee. 

1 When aromatic waters are prescribed which are not officinal, the com- 
pounder can readily prepare them by 'rubbing two drops of the essential oil 
with a few grains of carbonate of magnesia and a fluidounce of water, and 
then filtering the solution through bibulous paper. 



LINIMENTS, LOTIONS, ETC. 283 

[860. Lotion of Cantharidine and Castor Oil] 

R. Cantharidine gr. j ; 

Athens Acetici f 3ij ; 
Solve et dein adde — 

Alcoholis f^iij ; 

Olei Eicini f ij ; 

Olei Lavandulae tt^xv. 
Misce. 

For baldness ; to be applied daily to the scalp, which is to 
be thoroughly washed with soap and water every few days, 
to prevent the accumulation of the cantharidine. This pre- 
paration is known as the " Linimentum Crinale." 

P. Squiee. 

[861. Lotion of Quinia, Castor Oil, etc.'] 

R. Quiniae Sulphatis gr. xx; 

Alcoholis f 3ij ; 
Solve et adde — 

Olei Eicini f £iv ; 

Aquae Ammonias f 3iij ; 

Tincturae Cantharidis f 5ij. 
Misce. 

A very successful application in alopecia, or falling out of 
the hair from any cause ; to be used with the same precaution 
as the last formula. Any essential oils may be added to give 
it the odor which may be desired. ■ W. B. Smith. 

862. Glycerin Lotion. 

R. GrlycerinaB f 3ij ; 
Aquae Eosae f^ij. 

Misce. 

This is an emollient and soothing lotion, useful in erythema, 
chaps, excoriations, etc. — Druggists' Circular. 

863. Lotion of Morphia and Glycerin. 

R. Morphiae Acetatis gr. iij ; 

Glycerinae f^j. 
Solve. 

This is an elegant mode of preparing an anodyne lotion, 
the quantity of the salt varying with the indications of the 
case. The salts of nearly all of the alkaloids are soluble in 



284 LINIMENTS, LOTIONS, ETC. 

glycerin, but the bases, or pure alkaloids, are insoluble in 
this fluid. 

864. Lotion of Lead-water and Glycerin. 

R. Liquoris Plumbi Subacetatis f 5j ; 

Glycerinas f 3iij ; 

Aquae f ^vijss. 
Fiat solutio. 

This forms an astringent and sedative lotion, which is valu- 
able in the treatment of many of the skin diseases. — Loud. 
Hosp.for Skin Diseases. 

[865. Lotion of Bismuth^] 

B. Bismuthi Subnitratis gr. xij ; 

Hydrargyri Bic'hloridi gr. j ; 

Tincturas Camphoras ^iij ; 

Aquas ad f^ij. 
Misce. 

For application to chronic eczema, herpes, etc. 

London Hospital. 

866. Lotion of Tannin and Glycerin. 

B. Acidi Tannici gr. xv ; 

Grlycerinas f^j. 
Solve. 

Used for sore nipples, by applying it to the part with a 
brush, or on lint covered with oiled silk. Some practitioners 
prefer a stronger solution, consisting of equal parts, by weight, 
of tannin and glycerin. 

867. Lotion of Green Vitriol. 

B. Ferri Sulphatis 3j ; 

Aquas Oj. 
Fiat lotio. 

Used in erysipelas, by applying it to the part every two or 
three hours. Velpeau. 

868. Lotion of Borax and Morphia. 

B. Sodas Boratis §ss ; 

Morphias Sulphatis gr. vj ; 

Aquas Eosas f^viij. 
Fiat lotio. 

Used in pruritus vulvas. 



OINTMENTS. 285 

Wash the surfaces with soap and tepid water, and dry them 
before applying the lotion, which is to be done three times 
daily. C. D. Meigs. 

869. Lotion of Sulphite of Soda, etc. 

R. Sodas Sulphitis, 

Aluminas Sulphatis, aa 3j ; 

Aquas Eosas f^vijss. 
Fiat lotio. 

To the above a tablespoonful of some flavoring ingredient, as 
the Eau de Cologne, may be added. 

Used in acne by washing the part with a linen rag dipped 
in the solution twice or thrice a day. Staetin. 

870. Substitute for Aromatic Wine. 

R. Yini Kubelli (Claret Wine), _ 

Spiritas Lavandula Compositi, aa f Zv ; 

Tincturas Opii f^ss; 

Aquas f^iijss; 

Acidi Tannici 3ij- 
Misce. 

The aromatic wine of the Paris Codex is employed by 
Eicord and others as a stimulating lotion to buboes and chan- 
cres, and, when diluted, as an injection in leucorrhcea and 
gonorrhoea. The above is an efficient substitute for the ori- 
ginal complex formula, and may be employed in similar cases. 

F. J. BUMSTEAD. 



F— OINTMENTS. 

Ointments are usually prepared by rubbing together the 
medicinal agent and a sufficient quantity of lard to give a 
smooth uniform consistence. If intended for immediate use, 
no better excipient than lard can be found. But if kept on 
hand for some time, an ointment, thus made, becomes rancid 
or acrid. To prevent this chemical change, a number of plans 
have been proposed, the following among others : — 

871. Benzinated or Benzoated Lard, 

As an excipient, is used instead of pure lard. It is prepared 
by digesting at a moderate heat two drachms of powdered 
benzoin with a pound of lard. E. Mouchon. 



286 OINTMENTS. 

872. Plasma, 

Is the name applied to a mixture of seventy grains of starch 
and a fluidounce of glycerin. These articles are mixed and 
gradually heated to 240° F., constantly stirring. This mix- 
ture is used as a basis for ointments. It dissolves most mate- 
rials which are soluble in water, and it can be washed readily 
from tender surfaces. G. F. Shacht. 

Mr. Startin's formula for a similar preparation is : — 

R. Tragacanthae electae Iss ; 

Glycerinas f %j ; 

Liquoris Calcis f 3ij ; 

Aquas Kosas q. s. ut fiat gelatina. 
Misce. 

This jelly is employed both as a basis for ointments and as 
an emollient application in various skin diseases. 

[873. Glycerin Ointment.'] 

R. Cetacei 3ij ; 

Ceras albas Jss ; 

Olei Amygdalae flij. 
Misce cum calore, et dein adcle — 

Glycerinas f^j. 
Et misce celeriter. 

An admirable emollient for chaps and excoriations. 

P. Squire. 

[874. Spermaceti Ointment.] 

R. Cetacei 5v; 

Cerae albas 3ij ; 

Olei Amygdalae f Sijss vel q. s. 
Fiat ungnentum. 

A cooling application to burns, or excoriations, or irritable 
ul cers. — British Pharmacopoeia. 

875. Ointment of Red Precipitate. 

R. Hydrargyri Oxidi Kubri 3j ; 

Terebinthinas Yenetas 3j. 
Misce. 

This preparation is applied to indolent sores, and is thought 
by some practitioners to be a specific in itch. 



OINTMENTS. 287 

876. Iodine Ointment. 

R. Iodinii gr. iij ; 

Adipis 3ij ; 
Fiat unguentum. 

Used in enlargements, painful joints, nodes, etc. 

877. Iodine and Collodion. 

R. Iodinii, 

Terebinthinae Canadensis, aa 3j ; 

Collodii f 3iv. 
Solve. 
Signa. — Paint over the diseased part with a brush. 

This preparation has proved very efficient in the discussion 
of tumors, swellings, painful joints, etc. It acts as a rubefa- 
cient, and even as a vesicant if the skin is tender. 

J. T. Shinn. 

878. Ointment of Iodide of Potassium. 

R. Potassii Iodidi 9j ; 

Cerati Adipis 3j. 
Fiat ceratum. 

Applied to scrofulous swellings when the skin is unbroken. 
It may also be used for tetter, and kindred eruptions. 

879. LugoVs Ointment of Ioduretted Iodide of Potassium. 

R. Iodinii gr. xij ; 

Potassii Iodidi 9iv ; 

Adipis §ij. 
Fiat unguentum. 

Used in scrofulous ophthalmia, ulcers, etc. 

880. Ointment of Iodide of Zinc. 

R. Zinci Iodidi 5j ; 

Adipis 3j. 
Fiat unguentum. 
Signa. — A drachm to be rubbed on twice a day. 

In tumors. 

Dr. Ure recommends the above as a substitute for the oint- 
ment of iodide of potassium in glandular swellings. 



288 OINTMENTS. 

881. Ointment of Iodide of Barium. 

R. Barii Ioclidii gr. iv; 

Adipis ij. 
Fiat unguentum. 

For scrofulous swellings. Biett. 

882. Ointment of Iodide of Cadmium. 

R. Cadmii Iodidi 3ss; 

iEtheris nixl. 
Tere simul, et adde — 

Adipis ij. 
Misce, fiat unguentum. 

Used in cases of enlarged glands, and nodes, and for chronic 
inflammation of the joints. This does not stain the skin like 
iodine or iodide of lead, and is not gritty like the ointment of 
iodide of potassium. A. B. Gakkod. 

883. Ointment of Iodide of Iron. 

R. Ferri Iodidi 3jss ; 

Adipis %]. 
Fiat unguentum. 

884. Ointment of Iodide of Sulphur. 

R. Sulphuris Iodidi gr. xxv; 

Adipis ij. 
Fiat unguentum. 

Used in diseases of the skin, acne, eczema, and scabies. 

Magendie. 

885. Ointment of Iodide of Arsenic. 

R. Arsenici Iodidi gr. iij ; 

Adipis lj. 
Fiat unguentum. 

Used in lepra, impetigo, and other cutaneous affections. 

Biett. 
886. Ointment of Iodine and Calomel. 

R. Iodinii gr. x; 

Hydrargyri Chloridi Mitis gr. xv; 

Adipis ij. 
The iodine to be first united to the lard, and then the calomel 
added. 

MM. Planck and Soubeiran, by whom this ointment is pro- 
posed, state that these are the only proportions that can be 
used, without leading to decomposition. 



OINTMENTS. 289 

[887. Ointment of Mercury with Muriate of Ammonia^] 

B. Ammoniae Hydrochloratis 3j ; 

Unguenti Hydrargyri §ij. 
Misce, fiat unguentum. 

In chronic glandular enlargements. Dupuytren. 



Ointment of Iodide of Mercury and Morphia. 

B. Hydrargyri Iodidi Viridis gr. vj ; 

Morphiae Acetatis gr. viij ; 

Adipis §j. 
Fiat nnguentum. 

Eecommended by the French physicians in glandular swell- 
ings. The morphia is supposed by them to prevent the un- 
pleasant effects of iodine when used as an ointment. 

Pelletan. 

889. Ointment of Red Iodide of Mercury. 

R. Hydrargyri Iodidi Eubri 9j ; 

Adipis 3Jss. 
Fiat unguentum. 

Used to accelerate the cicatrization of inveterate venereal 
ulcers. 

890. Another Form. 

B. Hydrargyri Iodidi Eubri gr. xv; 

Adipis Iij ; 

Olei Limonis t^xx. 
Fiat unguentum. 

Employed as a curative application to syphilitic tubercles, 
chronic ulceration, and venereal eruptions. Its great activity 
requires caution in its use. Eatier. 

891. Compound Ointment of Red Iodide of Mercury. 

B. Hydrargyri Iodidi Eubri gr. vij ; 

Potassii Iodidi 9j ; 

Adipis Ij. 
Fiat unguentum. 

Used for the discussion of glandular and other tumors. 

C. C. HlLDRETH. 

19 



290 OINTMENTS. 

892. Ointment of Ioduretted Iodide of Potassium tuith Opium. 
R. Iodinii gr. xvj ; 

Potassii Iodidi 3j ; 

Tincture Opii f5ij ; 

Adipis §ij. 
Fiat unguentum. 

Applied to scrofulous and other ulcers. Lugol. 

893. Ointment of Cyanide of Mercury. 
R. Hydrargyri Cyanidi gr. xij ; 

Adipis §j. 
Fiat unguentum. 

Used in herpes attended by inflammation and itching. 

894. Mercurial Ointment with Camphor. 
R. Unguenti Hydrargyri gj ; 

Camphorse 3j- 
Misce. 

Signa. — One drachm of this ointment to be rubbed on the 
inside of the thighs, before the fire. 

Used for buboes and venereal diseases. 

Some physicians recommend the warm bath before using 
the ointment, while others consider it useless. We think the 
practice occasionally beneficial. The hands of the person 
rubbing it on should be enveloped in a bladder, or gloves 
made of oiled silk. B. Ellis. 

895. Ointment of White Precipitate, Sulphur, etc. 
R. Hydrargyri Ammoniati gr. xv; 

Potassse Nitratis 3ss ; 

Sulphuris Sublimati 3j. 
Tere simul et adde — 

Adipis iij. 
Fiat unguentum. 

This ointment has long been celebrated in the cure of itch. 



Compound Sulphur Ointment. 
R. Sulphuris Sublimati 3viij ; 

Hydrargyri Ammoniati §ss ; 

Hydrargyri Sulphureti Eubri ^ss. 
Tere simul et adde — ■ 

Olei Olivae Siv ; 

Adipis Bbj ; 

Creasoti rt^xx. 
Misce. 



OINTMENTS. 291 

This ointment is employed in the London Hospital for 
Diseases of the Skin, in the treatment of scabies, favus, and 
ringworm. Staktin. 

897. Anti-herpetic Ointment. 

R. Hydrargyri Sulphatis Flavse 3j ; 

Tincture Opii f 3j ; 

Sulphuris Sublimati 3ss; 

Adipis 3j. 
Fiat unguentum. 

In herpes, alternated with the simple water-bath. 

898. Sulphur Ointment. 

R. Adipis fib j ; 

Olei Bergamii f 3ij ; 
Sulphuris Sublimati 3viij. 
Fiat unguentum. 

Used by friction, three to six drachms at a time, in itch. 

899. Mercurial Cerate, 

R. Unguenti Hydrargyri siv; 

Cerati Adipis Jx. 
Fiat ceratum. 

A dressing for venereal ulcers. Ratiek. 

900. Ointment of Cyanide of Potassium and Chloroform. 

R. Potassii Cyanidi partes x ; 

Chloroformi Yenalis partes xij ; 

Adipis partes lx. 
Fiat unguentum. 

Eecommended in hemicrania and facial neuralgia. 

A portion to be well rubbed into the skin over the seat of 
suffering. Cazenave. 

901. Ointment of Belladonna. 

R. Extracti Belladonnas 3ij ; 

Glycerinae f 3ij ; 

Adipis oij. 
Misce. 

Employed as a direct application to the neck of the uterus, 
in cases of rigidity. 



292 OINTMENTS. 

902. Ointment of Alum, Calomel, etc. 

B. Hydrargyri Chloridi Mitis 3ij ; 

Aluminis exsiccati, 

Plumbi Oxidi, aa ^ss ; 

Olei Terebinthinae f 5ij ; 

Unguenti Adipis ijss. 
Fiat unguentum. 

This ointment is particularly adapted to tinea capitis. It 
should be applied every night going to bed, and washed off 
in the morning. As soon as the child's head is dry, dust it 
over with powdered starch, which, in the evening, is again to 
give place to the ointment. The hair must be cut off previous 
to the application of the ointment. S. Gr. Morton. 

903. Ointment of Calomel and Sulphate of Zinc. 

B. Hydrargyri Chloridi Mitis, 

Zinci Sulphatis, aa 5ij ; 

Adipis 3j. 
Fiat unguentum. 

Used in the Eoyal Free Hospital, London, in the treatment 
of condylomata. Y. De Meric. 

904. Ointment of Oxide of Zinc. 

B. Zinci Oxidi 5j ; 

Adipis Benzoati 3j. 
Fiat unguentum. 

This is a mild and very useful ointment for scalds, super- 
ficial inflammations, ulcers, etc. 

905. Kentish 1 s Ointment. 

B. Cerati Besinae §ij; 

Olei Terebinthinae f3ij. 
Fiat unguentum. 

This preparation has long been celebrated in burns and 
scalds. Care is requisite to avoid touching the sound skin, 
for turpentine occasionally inflames it severely. 

906. Ointment of Bromide of Potassium. 

B. Potassii Bromidi gr. xxx; 

Adipis §j. 
Fiat unguentum. 

Used for scrofulous tumors. 



OINTMENTS. 293 

907. Ointment with Goulard's Cerate, Calomel, etc. 

R. Cerati Plumbi Subacetatis, 

Cerati Adipis, aa 3ss ; 

Hydrargyri Chloridi Mitis, 

Pulveris Opii, aa 3j. 
Misce. 

Useful in various cutaneous eruptions. 

Joseph Parrish. 

908. Ointment of Rhubarb, Opium, etc. 

R. Pulveris Khei gr. x; 

Pulveris Opii gr. v ; 

Unguenti Adipis ^jss. 
Fiat unguentum. 

In indolent ulcers. 

909. Ointment of Tar, and Citrine Ointment. 

R. Unguenti Picis Liquidae Ij ; 

Unguenti Hydrargyri Nitratis ^ss. 
Fiat unguentum. 

In tinea capitis. 

[910. Ointment of Coal Tar.'] 

R. Picis Mineralis 3ij ; 

Glycerinae purse f 3iij ; 

Adipis Benzoati (Formula 866) ^jss. 
Misce, fiat unguentum. 

For application to chronic eczema. To be melted a little, 
and rubbed in three or four times daily. Anderson. 

[911. Ointment of Mercury and Carbolic Acid."] 

R. Hydrargyri Ammoniati 3j ; 

Adipis Benzoati (Formula 866), 

Plasmatis (Formula 867), aa 3yj ; 

Acidi Carbolici n^xx. 
Fiat unguentum. 

In chronic eczema. To be applied three or four times daily. 



294 OINTMENTS. 

[912. Olive Ointment. 1 

B. Cerse Flavse ^iv; 

Olei Olivse f Iviij ; 

Mellis I]. 

Emplastri Galbani Compositi siv. 
Fiat unguentum. 
This should be melted, strained, and stirred till cold. 

A stimulant application for indolent ulcers and boils. 

913. Ointment of Tar and Opium. 

B. Pulveris Opii 3ij ; 

Unguenti Picis Liquidse Ij. 
Fiat unguentum. 

For haemorrhoids. 

914. Ointment of Oil of Cade. 

B. Olei Juniperi Oxycedri Pyrolignei Ej ; 

Olei Anisi gtt. iij ; 

Adipis 3ij. 
Fiat unguentum. 

The oil of cade is an empyreumatic product obtained by 
the destructive distillation of the Juniperus Oxycedrus. 

It has proved highly beneficial in many forms of skin dis- 
ease, especially in eczema and tinea. Devergie. 

[915. Chloroform Ointment.'] 

B. Chloroformi 3j ; 

Adipis Benzoati (Formula 866) ^ij ; 

Cocci gr. J. 
Misce, fiat unguentum. 

For eczema, with burning heat of skin. 

McCall Anderson. 

[916. Benzoic Acid and Lead?] 

B. Acidi Benzoici 3j ; 

Cerati Plumbi Subacetatis Ij. 
Misce, fiat unguentum. 

For application to erythematous affections of the skin, or 
erosions. 



OINTMENTS. 295 

917. KirklancPs Neutral Cerate. 

R. Emplastri Plumbi ^iv ; 

Olei Olivae, 

Cretae Prseparatae, 

Acidi Acetici diluti, aa Hij ; 

Plumbi Acetatis 3jss. 
The plaster and oil are first to be melted over a gentle fire. 
The prepared chalk is then to be briskly stirred in, and 
when the mixture is sufficiently cooled, the acetic acid and 
acetate of lead are to be added, and the whole stirred until 
nearly cold. 

This non-officinal cerate is well adapted to abraded irritable 
surfaces, and the later stages of burns. 

918. Aromatic Compound Sulphur Ointment. 

R. Potassae Carbonatis 3ss ; 

Aquae Eosae f Ij ; 

Hydrargyri Sulphured Eubri Ej ; 

Olei Bergamii f ^ss ; 

Sulphuris loti, 

Adipis, aa 3x. 
Misce secundum artem. 

Used in scabies. Bateman's Synopsis. 

919. Naphthaline Ointment. 

E. Naphthalinae 9ij ; 

Adipis Ej f 
Fiat unguentum. 

'Eecommended by Dr. Lodge in the treatment of itch. Dr. 
Emery has found it effectual in cases of dry tetter, lepra, and 
psoriasis. 

920. Ointment of Carbonate of Ammonia. 

R. Ammoniae Carbonatis 3ss ; 

Unguenti Adipis 3ss. 
Fiat unguentum. 

Applied to indolent ulcers of a scrofulous character. 
921. Ointment of Verdigris, etc. 

R. Cupri Subacetatis, 

Cupri Sulphatis, 

Hydrargyri Oxidi Eubri aa 3ij 5 

Hydrargyri Chloridi Corrosivi 3j ; 

Adipis Iv. 
Fiat unguentum. 



296 OINTMENTS. 

This may be spread on lint, and one or two applications 
will be sufficient to destroy a very large mass of fungous 
granulations. B. C. Brodie. 

922. Ointment of Ipecacuanha. 

R. Pulveris Ipecacuanhas 3ij ; 

Olei Olivas f 3ij ; 

Adipis Sss. 
Misce, et fiat unguentum. 
Useful as a counter-irritant. Turnbull. 

923. Ointment of Calomel and Tar. 

R. Hydrargyri Chloridi Mitis 3j ; 

Unguenti Cetacei, Zonal. 3j ; 

Unguenti Picis Liquidge ^ss. 
Fiat unguentum. 

Used in lepra. A. T. Thomson. 

924. Ointment of Creasote and Char coed. 

R. Creasoti f3ss; 

Alcoholis J5jss; 

Carbonis Animalis puriflcati 3j; 

Unguenti Cetacei, Lond. ^jss. 
Fiat unguentum. 

Used in cases of burns and scalds. " For children under 
five years, the ointment should be weakened by mixing it 
with four times its bulk of spermaceti ; for children from five 
to ten years, with twice its bulk of spermaceti; and so on, 
gradually increasing the strength of the ointment according 
to the age of the patient." S. Sutro. 

[925. Ointment of Carbolic Acid and Castor Oil] 

R. 01. Eicini f^j; 

Balsami Abietis ^ss ; 

Cerse Albas 3ij- 
Misce cum calore, dein adde — 

Acidi Carbolici liquidi f 3ss. 
Misce, fiat unguentum. 

To be used in suppurating surface from burns, chronic 
ulceration, or wounds. 

To the above may be added with advantage, sometimes, 
Zinci Oxidi puri 3j- 



OINTMENTS. 297 

926. Oxide of Silver Ointment. 

B. Argenti Oxicli 5j ; 

Unguenti Adipis %j. 
Fiat unguentum. 

Used for sore nipples. 

927. Ointment of Slaked Lime, Zinc, etc. 

B. Calcis Hydratis 3j ; 

Camphoras 9j ; 

Unguenti Zinci Oxidi ^j. 
Fiat unguentum. 

This is the "topique contre acne" of the 

Hopital S. Louis. 

928. Depilatory Ointment. 
B. Sodas Carbonatis 3ij ; 
Calcis, 3j ; 
Adipis Jj. 
Fiat unguentum. 

Used in porrigo. Biett. 

929. Veratria Ointment. 
B. Veratrias gr. x ; 
Acidi Acetici t^x ; 
Adipis §j,. 

Fiat unguentum. 

Veratria has been used externally in neuralgia, in twitching 
and drooping of the eyelids, and in other nervous disorders, 
with the most marked success. 

930. Veratria and Morphia Ointment. 
B. Veratrias, 

Morphias Sulphatis, aa gr. x ; 

Adipis ^j. 
Fiat unguentum. 

Used in incontinence of urine, by rubbing a portion of the 
ointment on the perineum three times daily. 

T. Kennaed. 

931. Ointment of Nitrate of Silver. 
B. Argenti Mtratis 3ss ; 

Adipis loti 3ss. 
Fiat unguentum. 

Used to smear over bougies in the treatment of gonorrhoea. 

Macdonald. 



298 OINTMENTS. 

[932. Ointment of Copper, Lead, and Copal Varnish.'] 

R. Cupri Sulphatis gr. iij ; 

Plumbi Acetatis gr. x ; 

Spiritus Resinae Copal f 3j ; 

Cerati Simplicis 3ij. 
Misce, fiat unguent am. 

An admirable application for chronic piles. 

L. C. Heyl. 

[933. Ointment of Opium and Tannin. ,] 

R. Extracti Opii Aquosi gr. x; 

Acidi Tannici 3j ; 

Cerati Plumbi Subacetatis Ij. 
Misce, fiat unguentum. 

For piles — to be introduced in quantity about size of a pea 
within the sphincter. 

934. Ointment of Tannin. 

R. Acidi Tannici 3j ; 

Grlycerinse «ll ; 

Adipis Ij. 
Fiat unguentum. 

Used for the same purposes as the astringents generally. 

935. Ointment of Tannate of Lead. 

R. Plumbi Tannatis 3j ; 

Unguenti Aquas Eosas 3J. 
Fiat unguentum. 

A sedative and astringent application to sore nipples, 
chapped surfaces, etc. M. Leon. 

[936. Discutient Plaster.] 
R. Olei Lini, 
Olei Olivae, 

Plumbi Oxidi Eubri, aa partes equales. 
Misce secundum artem, fiat emplastrum. 

For rubefacient and resolvent effect. C. D. Meigs. 



Powders. 

Sometimes the practitioner prefers dusting medicinal agents 
directly upon diseased surfaces, instead of incorporating them 



OINTMENTS. 299 

with lard in the form of an ointment. Hundreds of such 
formulas might be given, but we limit our selection to a few. 

937. Povjder of Verdigris and Calomel. 

B. Cupri Subacetatis, 

Hydrargyri Chloridi Mitis, aa 9j. 
Fiat pulvis subtilissimus. 

For chancres and indolent ulcers. 

938. Poivdered Rhubarb and Ipecacuanha. 

B. Pulveris Khei, 

Pulveris Ipecacuanhas, aa 3j. 
Fiat pulvis. 

To be dusted on sarcomatous and watery tumors. 
Ehubarb alone forms an excellent application to indolent 
ulcers. 

939. Powder of Savin and Verdigris. 

B. Pulveris Sabinae, 

Cupri Subacetatis, aa 5j- 
Fiat pulvis. 

To be dusted on sores accompanied with fungous excres- 
cences. 

[940. Depilatory Powder.] 

R. Sodii Sulphureti 3iij, 

Pulveris Calcis (non hydrata), 
Pulveris Amyli, aa 3^. 

Misce. 

To be mixed, when required for use, with a little water, 
applied to the skin, and removed in a few minutes with a 
wooden knife. 

For the removal of hair. P. Squire. 

941. Powder of Sanguinarina. 

R. Sanguinarinae Sulphatis 3j. 
Tere in pulverum. 

Employed for the removal of venereal warts, by dusting 
the surface of the warts thickly with the powder, and then 
applying collodion to retain the powder in direct contact with 
the skin. 



300 CATAPLASMS. 



G. — CATAPLASMS. 

942. Bread- and- Milk Poultice. 

Remove the crust from a part of a loaf of stale bread, and 
crumble the bread into a bowl. Pour over it sufficient sweet 
milk to cover it, and simmer over a fire, occasionally stirring, 
until the bread is reduced to a pulpy consistence. The 
poultice is to be applied as warm as the patient can bear it. 

Water may be substituted for the milk without much if 
any disadvantage. 

943. Flaxseed Meal and Bran Poultice. 

Take equal parts of ground flaxseed and bran. Pour boil- 
ing water upon them, and stir constantly until the poultice 
has a pulpy consistence. 

In the Northern and Middle States it is customary to use 
the common flaxseed meal, which contains both the oily and 
mucilaginous principles ; but in New York city and some 
other places, the ground oil-cake is preferred. Equal parts 
of the latter and bran form an elegant poultice. 

944. Mush Poultice. 

This is made by stirring Indian meal, in small quantities, 
into water kept boiling in a pan, until the whole has acquired 
the proper degree of consistence. 

945. Yeast Poultice. 

R. Farinae, Ed., Bbj ; 

Fermenti, Oss. 
Misce. 

This cataplasm is useful in stimulating foul ulcers and gan- 
grenous wounds, and removing the unpleasant odor. It should 
be made with fresh yeast, and applied warm. 

946. Charcoal Poultice. 

This cataplasm is made by stirring into the common bread- 
and-milk poultice as much finely-powdered charcoal as it will 
bear, and then sprinkling upon the surface of the poultice, 
when ready for application, some more of the powder. It is 
a very useful application to offensive ulcers ; removing in a 
short time the fetor, and giving them a more healthy aspect. 



CATAPLASMS. 301 

'947. Slippery Elm Poultice. 

This poultice is made from the inner bark of the slippery- 
elm, ground into a fine powder, and moistened with hot water. 
Cataplasms are also made of carrots or turnips, by simply 
boiling them to softness, and beating them to a pulpy mass. 
Either furnishes a good poultice for cancerous and other pain- 
ful sores. 

948. Emollient Cataplasm. 
R. Lini Farinas, 

Hordei Farinas, aa partes asquales ; 
Aquae q. s. ut fiat cataplasma. 

The water may be warmed if desirable. Applied to inflam- 
matory tumors. Hotel Dieu. 

[949. Another Form."] 

R. Pulveris Lini, 

Pulveris Foenigrec, aa partes asquales ; 
Aquas bullientis q. s. ut fiat cataplasma. 

Applied very efficiently for the evacuation of slow abscesses. 

950. Antiseptic Cataplasm. 

R. Cataplasmatis Emollientis {vide supra, 948) 3viij ; 

Pulveris Kino, 

Camphora, aa 3ij. 
Fiat cataplasma. 

Applied to unhealthy wounds and ulcers. Hotel Dieu. 

951. Resolvent Cataplasm. 

R. Cataplasmatis Emollientis {vide supra, 948) §iv; 

Plumbi Acetatis 3j ; 

Ammonias Muriatis 3ss. 
Fiat cataplasma. 

Applicable to tumors that require gentle stimulation. 

Batier's Formulary. 

952. Cataplasm of Common Salt, etc. 

R. Lini Farinas, 

Micas Panis, aa partes asquales. 
Misce, dein adde gradatim — 

Liquoris Sodii Chloridi saturati q. s. ut fiat cataplasma. 

To be applied to indolent strumous swellings, and enlarge- 
ments of the joints. When it produces irritation or inflam- 



302 BATHS. 

mation the common bread-and-milk poultice must be substi- 
tuted; and the other reapplied when circumstances permit. 

953. Iodine Cataplasm. 

E. Tincturae Iodinii f sss ; 
Lini Farinae 3J ; 
Avenge Farinas §iij ; 

Aquae q. s. ut fiat cataplasma. 

Applied to indolent ulcers (especially those of a scrofulous 
character), and to tumors of the same class. 



H. — BATHS. 

The ordinary application of cold, tepid, and shower-baths, 
is too well known to require any particular notice. The hot 
bath should be of a temperature of 93 to 96 degrees of Fahren- 
heit. It is designed to alleviate general or local irritation, 
and to induce repose and sleep. It is especially adapted to 
fevers with deficient capillary circulation, rheumatism, her- 
petic eruptions, paralytic affections, etc. The lower tempera- 
ture is best adapted to cutaneous complaints, and to bring on 
relaxation of the skin during febrile irritation ; the warmer 
temperature is suited to paralysis; and, as a general rule, 
more heat is desirable to act upon deep-seated than on super- 
ficial diseases. 

Vapor Baths are produced by the evaporation of boiling 
water in a suitable apparatus. They are used, like ordinary 
warm baths, in rheumatic and cutaneous affections, and in 
every case wherein profuse perspiration is desirable. They 
are avoided in persons laboring under pulmonary or cardiac 
disease, and in exhaustion from any cause. 

Local Baths are admirably adapted to parts which are 
swelled and painful, and may consist of tepid water only, or 
their strength may be increased by the addition of saline, 
emollient, narcotic, or stimulant substances. Among these 
salt and mustard are preferable. 

954. Sulphurous Water, or Artificial Bareges Bath. 

R. Potassii Sulphur eti Bbj ; 

Aquae Cong. xxx. 
Solve. 

In cutaneous eruptions. 



BATHS. 303 

955. Sulphur eo- gelatinous Bath. 

R. Potassii Sulphureti siv ; 

Aquae Cong. xxx. 
Fiat solutio et adde — ■ 

Ichthyocollae ft>j. 
In Aquae bullientis ft>x solutae. 

This bath, according to Dr. Green (Diseases of the Skin, p. 
240), " is preferable to the artificial Bareges bath, as it is 
neither irritating nor apt to occasion feverishness, which the 
common sulphurous water-bath is. A cheaper and not less 
efficacious gelatine may be procured by dissolving from a 
pound and a half to two pounds of parchment-clippings in 
water by long boiling, or by using a neat's or a calf's foot for 
the purpose." 

956. Emollient Bath. 

R. Glycerinae 3j ; 

Pulveris Tragacanthae 3j ; 

Aquae tepidae Cong. xv. 
Misce. 

Useful in prurigo eczema, lichen, impetigo, and other forms 
of cutaneous disease. Hosp./or Skin Diseases. 

957. Nitro-muriatic Acid Bath. 

R. Acidi Nitrici f.iij ; 

Acidi Hydrochlorici f ^iij ; 

Aquae Cong. ijss. 
Misce. 

Used for syphilitic affections, and various obstinate skin 
diseases. St. Geobge's Hosp. 

958. Corrosive Sublimate Bath. 

R. Hydrargyri Chloridi Corrosivi 3ij ; 

Aquae tepidae Cong. xxx. 
Solve. 

Prescribed by the French physicians in syphilitic affections, 
when it is desirable to avoid the action of the medicine on the 
stomach. This plan is seldom resorted to, on account of the 
great risk of employing corrosive sublimate in such large 
quantity. 



304 BATHS. 

959. Alkaline Baths. 

R. Potassas Carbonatis Impuras 3viij ; 

Aquae tepidas Cong. xxx. 
Solve. 

For promoting desquamation from the skin, and to allay 
itching in various forms of prurigo. 



960. Ioduretted Baths. 




No. 1. 


No. 2. 


No. 3. 


3ij. 


3iij. 


3iv. 


3iv. 


3v. 


3viij. 


' ^vj. 


Ovj. 


fivj. 



R. Iodinii 

Potassii Iodidi 

Aquas destillatas 
Fiant solutiones. 

One of these solutions, according to the strength required, 
is added to a tepid bath in a wooden tub. For children, the 
drachms may be reduced to scruples. Used in scrofula. 

961. Artificial Harrowgate Bath. 
R. Sodii Chloridi Ibij; 

Magnesias Sulphatis 3iij ; 

Potassii Sulphureti Bbj ; 

Aquas Cong. xxx. 
Solve. 

I.— FOMENTATIONS. 

Fomentation is a more restricted mode of applying fluids 
to the surface of the body, and is best accomplished by means 
of a sponge, flannel, or soft cloth. To be efficacious it should 
be often repeated. 

962. Stimulant Fomentation. 

R. Yini Portensis Oij ; 

Mellis liv. 
Misce. 

This is an active fomentation, adapted to parts in a low 
state of vitality. Eatiee. 

963. Saponaceous Fomentation. 

R. Alcoholis Oij ; 

Saponis 3j. 
Misce. 

A resolvent in indolent tumors and in sprains. 

Batter. 



FUMIGATIONS. 305 

964. Anodyne Fomentation. 

R. Extracti Opii 3j ; 
Aquae Oj. 

Solve. 

For painful affections of the joints, as chronic rheuma- 
tism, etc. Batter, 

965. Fomentation of Bitter Sweet and Poppy. 

R. Dulcamaras ^ij ; 
Papaveris iij ; 
Aquae ferventis Oj. 
Fiat infusum. 

Employed as a soothing application to irritable surfaces, 

966. Mustard Fomentation. 

R. Sinapis Farinae ^iv; 
Aquas ferventis Oj. 
Misce. 

By wetting cloths in this fluid and applying them to the 
skin, irritation may be prolonged to any requisite degree. 

967. Tobacco Fomentation. 

R. Tabaci 3ij ; 

Aquae ferventis Oj. 
Misce. 

Employed in psora, but is apt to produce nausea and vomit- 
ing. Its use requires great care. 



K— FUMIGATIONS. 

Fumigations are for the most part used to purify infected 
air by absorbing or otherwise counteracting deleterious gases. 
They are also employed in diseases of the skin, and may be 
sometimes substituted for a local bath. 

968. Fumigation with Sulphur, Cinnabar, and Iodine. 

R. Sulphuris Praecipitati 3iij ; 

Hydrargyri Sulphureti Kubri 9ij ; 

Iodinii gr. x. 
Fiant pulveres vj. 
20 



306 FUMIGATIONS. 

One of the powders to be used in the following manner : 
" If the disease is seated on the limbs, a tin case, or even a 
common jar, should be procured. A heated iron is to be 
placed at the bottom of this apparatus, with a grating above 
it to protect the foot or hand. One of the powders being 
placed on this heated iron, the limb is to be instantly put 
into the bath, the top of which should be covered over, to 
prevent the vapor from escaping. The limb may be con- 
tinued in the bath from fifteen to 'twenty minutes, according 
Used in lepra. T. H. Burgess. 



>. Mercurial Vapor Bath. 

R. Hydrargyri Oxidi Nigri 3j ; 

vel 
Hydrargyri Oxidi Kubri 3j ; 

vel 
Hydrargyri Sulphureti Rubri 3j- 

Place the mercurial upon a plate suspended over a spirit- 
lamp ; and suspend a small vessel containing boiling water 
over a second spirit-lamp. Both are to be deposited under a 
chair, on which the patient is seated, having an oil-cloth or a 
coverlet thrown around him in such wise as to envelop the 
apparatus, chair, and his entire person, excepting the face. 
When the lamps are lighted,, mercurial fumes and steam are 
both generated, and mercury is thus directly applied to the 
whole surface of the body in a moist state. The bath should 
not continue longer than twenty minutes, when the patient 
should be rubbed dry and be removed to bed. 

This plan of medication is particularly serviceable in the 
treatment of constitutional syphilis, and obstinate skin dis- 
eases. L. Parker. 

970. Chlorine Fumigation. 

R. Calcis Chlorinatse 3iv ; 

Aquas f'lviij. 
Misce, et adde gradatim— 

Acidi Sulphurici 3j- 

The irritant properties of chlorine preclude its employment 
in disease by inhalation, except in occasional cases of aphonia, 
but it is often used for disinfecting purposes. A small quan- 
tity may be set free in a sick-chamber, or the ward of an 
hospital, to remove offensive odors. 



DISINFECTANTS. 307 

L. — D IS INFECT ANTS. 

Under this head are included all substances which have the 
power of acting upon noxious effluvia in the atmosphere, and, 
either by combining with them chemically, or destroying the 
vitality of the germs of disease, neutralizing their influence 
upon living beings. 

Apart from mere medicinal agents, as sold in the shops, there 
are natural and artificial means of purifying the atmosphere of 
more importance, and in themselves essential, without which 
all other means are futile. Yentilation, drainage, sunlight, and 
cleanliness are so intimately connected with pure air that they 
suggest themselves as necessary in all cases where disinfect- 
ants are needed. In hospital and private practice these con- 
ditions should be thoroughly looked into, and it will be found 
that seldom will chemical disinfectants be required if proper 
attention be paid to having a well regulated supply of fresh 
air; the rapid removal by sewage of all refuse matters, either 
in the form of discharges from patients or decaying animal or 
vegetable matters of any sort ; a full supply of sunlight ; the. 
immediate removal from the person and from the room of all 
discharges of secreta or excreta, the protection of the bed 
against absorption of foul liquids, and the frequent change of 
clothing on the person and on the bed ; the subjection of such 
clothing to a high heat in an oven, say 220° F., with their 
subsequent exposure to the direct rays of the sun ; and fre- 
quent ablutions with soap and water of the patient's body, 
when practicable. The simple means of disinfection thus 
indicated should be aided by the use of purifying agents 
which will not in themselves contaminate the air. 

Charcoal, recently burned, placed about a room ; lime, in 
the form of whitewash, applied to the walls, especially where 
rooms are to be purified after the removal of patients with 
infectious diseases; clothes steeped in a strong solution of 
permanganate of potassa and hung about the bed, are all 
efficient means of preserving the freshness of the atmosphere 
in rooms containing patients with diseases of an offensive 
character, and in themselves means attended with no disagree- 
able accompaniments. 

The preparations of chlorine, chloride of lime placed in 
saucers with a little dilute sulphuric acid poured over it, or 
Labarraque's solution of chlorinated soda placed in vessels 
around the room, will have the desired effect, and may be 
necessary in extreme cases attended with profuse fetid dis- 



308 DISINFECTANTS. 

charges ; but they are so offensive themselves that they often 
disgust the patient, and may, in some instances, act as Aber- 
nethy considered all disinfectants to do in his day, by driving 
the patient out of the room. 

The importance of preventing exhalations from the excreta 
of patients is now well recognized, and even where they can 
be removed rapidly, it is very desirable that the vessels into 
which they are passed should be previously purified by some 
of the various disinfectants mentioned below. In some cases, 
however, the physician may desire to inspect the discharges 
unchanged by any chemical agent, in which case he should 
never forget to see that they are not retained in the patient's 
room, which is not unfrequently done, especially in the case 
of children's napkins, by people of otherwise good sense. 
They should be placed, if possible, out of doors, or, at any 
rate, where there is good ventilation. 

Carbolic acid and creasote, while they are powerful anti- 
septics, have scarcely any claims to the place of disinfectants; 
their power of destroying the effects of putrefaction extending 
little, if any, beyond masking the smell by another, which, to 
many persons, is equally disagreeble. Sulphurous acid is 
applicable only to the disinfection of unoccupied places, and 
mainly useful in destroying the poison of contagious diseases. 

Fumigations with balsamic substances, the burning of 
sugar or coffee, the diffusion of volatile perfumes, and all 
similar methods of deodorizing, have no influence whatever 
in neutralizing poisonous effluvia, merely covering the smell 
and concealing the presence of noxious matters; so that, if 
relied upon at all as a substitute for efficient disinfectants, 
they become rather dangerous than useful. 

A number of combinations have been suggested of sub- 
stances having the power of destroying effluvia. 

M. Bonjean directs charcoal, well powdered, two pounds, 
sulphate of iron one pound, to be mixed ; of which two or 
three tablespoonfuls are to be placed in the chamber vessels 
used by the sick. 

Dr. Procter has great confidence in iodine placed in open 
saucers about the room, or gently volatilized by moderate heat. 

Burnetts fluid consists of a saturated solution of chloride 
of zinc. 

Collinses disinfecting powder contains dry chlorinated lime 
two parts, burnt alum one part ; used dry or moistened with 
water. 

Condy's fluid is a solution of the alkaline permanganates. 



DISINFECTANTS. 309 

Mlermann's deodorizing fluid consists of a solution of the 
perchloride of iron and the chloride of manganese. 

Ledoyerts disinfectant is a solution of two troyounces of 
nitrate of lead in a pint of water. 

Siret's disinfecting compound (No. 1) is a mixture of sul- 
phate of lime 53 lbs., sulphate of iron 40 lbs., sulphate of 
zinc 7 lbs., and peat charcoal 2 lbs., made into balls. 

Siret's compound No. 2 contains sulphate of iron 20 parts, 
sulphate of zinc 10 parts, oak bark, powdered, 4 parts, tar and 
oil each one pint, made into balls. Used for deodorizing 
cesspools. 

Professor R. E. Rogers advises a mixture of quicklime and 
sulphide of iron. 

The U. S. Army disinfectant consists of a powder of common 
salt and binoxide of manganese in packages, upon which is 
to be poured in a shallow dish a solution of sulphuric acid 
and water. The exact proportions and details are found in 
the last edition of Parrish's Practical Pharmacy. 



BOOK III. 



OP 



DIETETIC PREPARATIONS, AND POISONS. 



DIETETIC PREPARATIONS AND BEVERAGES EOR 

THE SICK. 



The importance of an acquaintance with those preparations 
of diet peculiarly designed for the patient during disease and 
convalescence, is so obvious that it requires little or no com- 
ment. It was remarked by the late Dr. Rush, in his lectures, 
that a physician should spend six months in a kitchen before 
entering upon his practical career. As the medical attendant, 
therefore, is called upon frequently to give directions and 
rules for preparing the diet of the sick, we have inserted a 
few formulas for those articles which are in daily use. How- 
ever apparently trifling such a class may appear, the physi- 
cian will find that an attention to it will place the patient 
more completely under his own control, and inspire greater 
confidence in the relations and attendants. The rules to be 
observed in giving nourishment to the sick, will generally 
present themselves ; but there is one in particular which 
should not be overlooked. In all low diseases, the nurse 
should be directed never to give too much at once, but fre- 
quently to repeat a small proportion. The lapse of a very 
short time without food will frequently, in cases of great 
prostration, reduce the patient very low, and may endanger 
his life. 

The rule is not intended to be applied to those chronic 
derangements of the digestive functions which are to be re- 
medied principally by a regulation of diet, and in which the 
old adage, "a little and often," has too frequently, we are con- 
vinced, been perniciously advised. 

971. Barley Water. 
Take of 

Pearl Barley 2 ounces, 

Boiling Water 2 quarts. 

Before adding the boiling water, let the barley be well washed. 
Then boil it to one- half, and strain the liquor. A little 
lemon-juice and sugar may be added, if desirable. 

To be taken freely in inflammatory diseases. 



314 DIETETIC PREPARATIONS. 

972. Rice Water. 
Take of 

Eice 2 ounces. 

Let it be well washed, and add to it — 

Water 2 quarts. 

Boil for an "hour and a half, and then add as much sugar and 
nutmeg as may be required. To be ^aken freely. 

Eice, when boiled for a considerable time, assumes a gela- 
tinous form, and, mixed with milk, is a very excellent diet 
for children. It possesses, in some measure, a constipating 
property, which may be increased by boiling the milk. 





973. Flaxseed Tea. 




Take of 






Flaxseed . 


. . . . 


. 1 ounce, 


Boiling Water . 


. 


. 1 pint. 



Pour the boiling water on the unbruised seed. Cover the 
vessel, and stand it near the fire for an hour or two. The 
seeds must not be crushed or boiled, lest the oil in the inte- 
rior should be extracted. 

Having strained the infusion, add to it a little lemon-juice, if 
no contra-indicating circumstances exist. 

Flaxseed tea is a mild demulcent, and is much used in dis- 
eases of the throat, chest, and urinary passages. 

974. Toast Water. 

Cut a slice, half an inch thick, from a loaf of stale bread, re- 
move the crust, and carefully toast the slice on both sides. 
Place the toast and a small piece of orange or lemon-peel 
in a suitable vessel, add- a pint of boiling water, cover the 
vessel, and, when cold, strain off the water. 

This forms an agreeable drink, in febrile diseases. 

975. Apple Water. 

Slice two large apples, and pour over the slices a pint of boil- 
ing water. Infuse for an hour, decant, and sweeten with 
white sugar. 

976. Currant Jelly Water. 

Boil together equal weights of white sugar and the juice of 
ripe currants, until the mixture gelatinizes by cooling, as 
shown by dropping a few drops on a cold plate. Eemove 
the scum, and form the jelly in suitable vessels. 



DIETETIC PREPARATIONS. 315 

A tablespoonful of this jelly, diffused through half a pint 
of cold water, makes a delightful acidulous drink, which is 
much relished by invalids. 

977. Mucilage of Gum Arabic. 

As an article of diet, the proper proportions are an ounce of 
Gum Arabic to a pint of boiling water. The solution is 
allowed to cool before it is used. 

Gum Arabic is very nutritive, and life can be sustained on 
it alone for some time. 



978. Bran Tea. 




Take of 




Fresh Wheat Bran .... 


. 1 pint, 


Water . . . . 


. 3 quarts, 



Boil to two quarts, strain off the liquor, and add sugar, 
according to the taste of the patient. 

979. Sage Tea. 
Take of 

The dried leaves of Sage . . . half an ounce. 
Boiling Water 1 quart. 

Infuse for half an hour, and then strain. Sugar and lemon- 
juice may be added in the proportion required by the 
patient. In the same manner, balm and other teas may be 
made. 

These infusions form very agreeable and useful drinks in 
fever, and their diaphoretic powers may be increased by the 
addition of sweet spirit of nitre or antimonial wine. 



980. Infusion of Malt. 




Take of 




Ground Malt 


. 1 pint. 


Scalding Water 


. 3 pints, 



Infuse for two hours, and strain off the liquor, to which may 
be added sugar or lemon-juice, if required. 

This was a favorite preparation with the late Dr. Joseph 
Parrish, in inflammatory fevers. 



316 DIETETIC PREPARATIONS. 

981. Lemonade. 
Take of 

Fresh Lemon Juice . ... 4 ounces, 
Fresh and very thin Peel of Lemon . half an ounce, 

White Sugar 4 ounces, 

Boiling Water . . . . .3 pints. 

Let them stand until cold, then strain off for use. When 
employed in fevers, a little nitrate of potassa or sweet spirit 
of nitre may be added. R can be further diluted to the 
taste of the patient. 

When fresh lemon-juice cannot be procured, an excellent 
lemonade can be prepared from lemon syrup made as follows : 
Dissolve ten drachms of tartaric or citric acid and eight 
pounds of loaf sugar in a gallon of water. Then rub twenty 
drops of fresh oil of lemon with a portion of the syrup, and 
afterwards carefully mix it with the remainder. 

Lemonade, when freely taken, sometimes produces pain in 
the bowels. It must, therefore, be used with some reserve as 
a daily drink. 

982. Oatmeal Gruel, 

Eub two ounces of oatmeal into a paste with a little water, 
and gradually add a quart of boiling water. Let the whole 
boil for fifteen minutes, stirring frequently. Add a little 
salt, remove from the fire, and sweeten to the taste. 

If no reason to the contrary exists, the flavor of the gruel 
is much improved by adding some nutmeg, with wine or 
brandy, or a few raisins. 

983. Gornmeal Gruel. 

Indian meal gruel is made in the same manner as oatmeal 
gruel. It is necessary, however, to boil it a few minutes 
longer. 



984. Rice Flour Gruel. 




Take of 




Ground Eice . . 


. 1 ounce, 


Cinnamon ..... 


. 1 drachm, 


Boiling Water 


. 1 quart. 



Having rubbed the rice flour into a paste with a portion of 
the water, add the remainder gradually, and boil for forty 
minutes, adding the aromatic near the conclusion. Strain 
and sweeten. Wine may be added, if necessary. 



DIETETIC PREPARATIONS. 317 





985. Panado. 




Take of 






AT beat Bread . 


.... 


. 1 ounce, 


Cinnamon 


.... 


. 1 drachm. 


Water 


. 


. 1 pint. 



Boil them until well mixed, then add a little grated nutmeg 
and sugar. Wine or butter may also be added, if de- 
sirable. 



Compound Salep Powders (Castanelloh Powders). 

Take of 
Salep, 
Tragacanth, 

Sago, each four ounces ; 
Cochineal thirty grains; 
Prepared Oyster-shells one ounce. 

Mix carefully, and divide into powders of a drachm each. 
Stir one of these powders into a pint of milk, and boil 
them together for ten or fifteen minutes. 

To be drunk freely in dysentery and diarrhoea. 

These are the dysenteric powders of Dr. Castanello. A 
somewhat analogous preparation, sold under the same name, 
is prepared as follows : — 

Take of 

Gum Arabic, 

Tragacanth, 

Arrowroot, 

Sago, 

Tapioca, each two drachms. 

Mix them well together, and boil in a pint of milk, flavored 
with nutmeg or cinnamon. 

Used as a diet in dysentery, diarrhoea, etc. etc. 

987. Racahout des Arabes. 
Take of 

Dried Cocoa, in powder Jiv; 
Potato- Starch (or Arrowroot), 
Eice Flour, each 5x; 
Sugar 3xv ; 
Vanilla 3ss. 

Mix carefully. 



318 DIETETIC PREPARATIONS. 

This is prepared for the sick by pouring half a pint of boil- 
ing milk on a tablespoonful of the powders, and boiling for a 
few minutes. 

988. Diabetic or Bran Bread. 

Boil two or three quarts of wheat bran in two successive 
waters for ten minutes, each time straining through a sieve, 
and wash well with cold water until the water runs off 
clear. Squeeze the bran as dry as possible in a cloth, 
spread it thinly on a dish, and dry it in a slow oven. 
When perfectly dry, grind it in a mill, and sift it through 
a fine sieve. 

Take six ounces of this ground bran, six eggs, three ounces of 
butter, and one pint of milk. Mix the eggs with a part of 
the milk, and warm the butter with the other portion. 
Then stir the whole well together, adding a little nutmeg 
or ginger, or any other agreeable spice. Immediately 
before putting into the oven, stir in seventy grains of 
bicarbonate of soda; and then six drachms of dilute hydro- 
chloric acid. Bake for an hour, or until thoroughly done. 

As thus prepared, bran bread contains but a small amount 
of starchy matter. It has the further advantage of being 
quite palatable. Camplin. 

• 989. Sago. 
Take of 

Sago 2 tablespoonfuls, 

Water 1 pint. 

Boil gently until it thickens, frequently stirring. Wine, 
sugar, and nutmeg may be added, according to circum- 
stances. 

990. Tapioca Jelly. 
Take of 

Tapioca 2 tablespoonfuls, 

Water 1 pint. 

Boil it gently for an hour, or until it assumes a jelly-like 
appearance. Add sugar, wine, and nutmeg, with lemon- 
juice, to suit the taste of the patient and the nature of the 
case. 

991. Carrageen , or Irish Moss Blanc-mange. 
Take of 

Carrageen half an ounce, 

Fresh milk . . . . .a pint and a half. 



DIETETIC PREPARATIONS. 319 

Boil them down to such a consistence as to retain a form 
when cold ; remove any sediment by filtering, and then add 
the requisite quantity of sugar, with lemon-juice, or peach- 
water, to give an agreeable flavor. 

The moss, before being used, should be well washed in cold 
water, to remove its saline taste. 

992. Iceland Moss Jelly. 
Take of 

Iceland Moss two parts,. 

Water . twenty parts. 

Boil down to six parts and strain. Then add; — 

Sugar four parts. 

Dissolve and set aside to cool. 

In consequence of its bitter principle, Iceland moss is more 
tonic than the other mosses. 

993. Arroivroot. 
Take of 

Arrowroot . . . . • .1 tablespoonful, 

Cold Water sufficient, 

Boiling Water half a pint. 

Mix the Arrowroot with just sufficient cold water to soften 
the lumps, then pour on the boiling water, and stir con- 
tinually until the solution is gelatinous and transparent. 
Sweeten to the taste and grate in a little nutmeg. 

994. Tons les Mois, or Carina Starch. 

This article is prepared like arrowroot. It is very delicate 
and valuable as a dietetic agent. 

When intended for infants, both this and the arrowroot are 
rendered more nutritious by the addition of fresh milk to the 
translucent jelly, made as directed above. In this case, how- 
ever, it is better to make the jelly more stiff by using a larger 
quantity of arrowroot, and then reducing it by milk to the 
proper consistence. 

995.. Maizena, or Corn Starch. 

To one quart of boiling milk add gradually four tablespoon- 
fuls of the starch, previously rubbed into a paste with a 
little cold milk, add some salt and boil for five minutes, 
stirring briskly. Sweeten to the taste, and flavor with es- 
sence of vanilla, lemon, or orange. Then set aside to cool. 



320 DIETETIC PREPARATIONS. 

996. Boiled Flour. 
Take of 

Fine Flour a pound. 

Tie it up in a linen cloth as tight as possible, and after fre- 
quently dipping it in cold water, dredge the outside with 
flour till a crust is formed round it, which will prevent the 
water soaking into it while boiling. It is then boiled until 
it becomes a hard dry mass. 

Two or three tablespoonfuls of this may be grated and pre- 
pared in the same manner as arrowroot, for which it forms an 
excellent substitute. 

This is an admirable food for children, nutritious and 
wholesome. 

"When the bowels are constipated, the editor has found 
great advantage in substituting for the white flour bran meal, 
or unbolted flour of fine quality, treating it in the same way; 
and by the continuous or even occasional use of this, the 
bowels are kept regular, with even more nourishment afforded. 
In the constipation of tubercular children, this latter is espe- 
cially useful. 

[997. Meigs 1 Food for Infants.] 

"Is made by dissolving a small amount of prepared gelatine 
or Russian isinglass in water, to which is added milk, 
cream, and a little arrowroot or other farinaceous substance 
that may be preferred. The mode of preparation and the 
proportions are as follows : A scruple of gelatine (or a 
piece two inches square of the flat cake in which it is sold) 
is soaked for a short time in cold water, and then boiled in 
half a pint of water until it dissolves — about ten or fifteen 
minutes. To this is added, with constant stirring, and just 
at the termination of the boiling, the milk and arrowroot, 
the latter being previously mixed into a paste with a little 
cold water. After the addition of the milk and arrowroot, 
and just before the removal from the fire, the cream is 
poured in, and a moderate quantity of loaf-sugar added. 
The proportion of milk, cream, and arrowroot must depend 
upon the age and digestive power of the child; for a healthy 
infant within the month, I usually direct from three to four 
ounces of milk, half an ounce to an ounce of cream, and a 
teaspoonful of arrowroot to the half pint of water. For 
older children the quantity of milk and cream should be 
gradually increased to a half or two-thirds milk, and from 
one to two ounces of cream. I seldom increase the quan- 
tity of gelatine or arrowroot." Jxo. F. Meigs. 



DIETETIC PREPARATIONS. 321 

998. Vegetable Soup. 

Take one turnip, one carrot, two potatoes, and one onion. 
Let them be sliced, and boiled in one quart of water for an 
hour. Add as much salt as is agreeable, flavor with a small 
portion of potherbs, and pour the whole upon a piece of 
dry toast. 

This preparation forms an agreeable substitute for animal 
food, and may be given when the latter is inadmissible. 

999. Mutton Broth. 

Select two tender mutton chops, put them into a saucepan, 
add one quart of cold water and a little salt, cover the pan, 
aucl cook slowly for two hours. Then skim off all the fat, 
and add one tablespoonful of rice, one white potato, one 
turnip, and a little parsley chopped fine. Simmer for three- 
quarters of an hour, then pour into a bowl and remove the 
chops and all of the remaining fat. 

This broth is nutritious and palatable. 

1000. Beef Tea. 
Take of 

Lean Beef, cut into shreds .... 1 pound, 

Water 1 quart. 

Boil for twenty minutes, taking off the scum as it rises. 
Strain the liquor, and add salt according to the taste. 

This preparation is more nourishing than ordinary broths, 
and very palatable. 

1001. Liebigh Beef Tea, 

" One pound of lean beef, free of fat, and separated from the 
bones in the finely-chopped state in which it is used for 
mince-meat, is uniformly mixed with its own weight of cold 
water slowly heated to boiling, and the liquid, after boiling 
briskly for a minute or two, is strained through a towel, 
from the coagulated albumen and fibrin, now become hard 
and horny. Thus we obtain an equal weight of the most 
aromatic soup, of such strength as cannot be obtained even 
by boiling for hours from a piece of flesh." This is to be 
seasoned to taste. Dr. Beneke. 

1002. Essence of Beef. 

Put a sufficient quantity of lean beef, sliced, into a porter 
bottle to fill up its body, cork it loosely and place it in a 
21 



822 



DIETETIC PREPARATIONS. 



pot of cold water, attaching the neck to the handle of the 
vessel by means of a string. Boil for an hour and a half 
or two hours, then decant the liquor and skim it. 

To this preparation may be added spices, salt, wine, brandy, 
etc., according to the taste of the patient and nature of the 
disease. 

[1003. Marcefs New Process of Beef -tea.'] 

Take one pound of lean beef, cut into small pieces ; put into 

a pint of cold water. 
To this add — 

Hydrochloric Acid (sp. gr. 1.15) . . 58 grains, 

or about 50 minims, 
Boudault's Pepsine . . . .15 grains. 

Bring it up to about 100° Fahrenheit, and maintain it at that 
temperature in a water-bath until the meat becomes dis- 
integrated ; strain it then, and neutralize with 80 grains of 
bicarbonate of soda. 

This makes a palatable and exceedingly digestible nourish- 
ment. In cases of fever, where the acid is rather desirable 
than not, the editor has found it quite agreeable to the patient, 
without the addition of the sc 



[1004. Eggs, Cream, and Extract of Beef.] 

Wash two ounces of the best pearl sago, until the water 
poured from it is clear ; then stew it in a half pint of water 
until it is quite tender and very thick ; mix with it half a 
pint of good boiling cream and the yelk of four fresh eggs, 
and mingle the whole carefully with one quart of good 
beef-tea, which should be boiling. Let cool sufficiently, 
when it is ready for use. T. H. Tanner. 

The editor has used this elegant preparation among his 
patients when nothing else could be taken and retained. 

[1005. Preparation of Raw Beef] 
" Take of 

Fresh lean beef free from fat or bones 

Water 

Inodorous Glycerine . 

Pure Brandy 

Sulphate of Quinise . 

Oil of Ceylon Cinnamon 

Dilute Phosphoric Acid 



3 lbs. avoirdup., 
8 fluidounces, 

6 fluidounces, 

4 fluidounces, 
8 grains, 

4 drops, 
sufficient quantity. 



DIETETIC PREPARATION'S. 323 

Cut the beef finely, chopping or dividing in a sausage-cutter, 
add the water and expose the mixture to the heat of a water- 
bath, with constant stirring, till it attains a temperature of 
about 145° F. ; transfer to a strong muslin drilling bag, and 
express the juice with powerful pressure; set this juice in 
a cool place until the floating fat solidifies, then skim care- 
fully. Take of this juice about half a fluidounce, and add 
to it in a mortar the sulphate of quinia, rub it up smooth, 
and add sufficient dilute phosphoric acid to make a clear 
solution; then return this solution to the remainder of the 
juice, and pour in the glycerine, brandy, and oil of cinna- 
mon previously mixed. 

" If force has been used in the expression of the juice, the 
finished preparation will measure about 32 flaidounces, vary- 
ing a little according to the juiciness of the beef. As thus 
prepared it is an agreeable article as respects appearance and 
taste, the raw flavor of the beef being effectually masked. It 
will keep perfectly sweet for two weeks, and probably longer." 

The above formula was furnished by my friend J. E. Carter, 
manufacturing chemist of this city, and I can say that I have 
used the preparation as a nutriment in advanced phthisis, 
when it was found acceptable to the stomach, and seemed to 
maintain vitality when it was at a very low ebb and all other 
food disgusted. It may be given in doses of a wineglassful 
after meals. 

1006. Hartshorn Jelly. 
Take of 

Hartshorn Shavings . . . . .4 ounces, 

Water ....... 1 quart. 

Boil over a gentle fire until one pint of the water be dissipated. 
Strain, and add lemon-juice, sugar, and half a pint of wine. 

This forms, either with or without the last-named ingredi- 
ents, a very nourishing diet for convalescents; and, when 
mixed with an equal portion of milk, is well adapted to the 
bowel complaints of children. 

Isinglass may be used instead of the hartshorn shavings, if 
preferred. 

1007. Calves 1 Feet Jelly. 

Take a set of four feet, break them in small pieces, add to 
them one gallon of water, and reduce by boiling to one 
quart. Strain, and when cold, skim the fat entirely off. 
Add to this the shells and white of six eggs, well beaten, 
a pint of wine, a pound of loaf sugar, and the juice of four 



824 DIETETIC PKEPARATIONS. 

lemons, and let them be well mixed. Boil the whole for a 
few minutes, stirring constantly, and then pass the jelly 
through a flannel strainer. 

This forms a very nutritious article of diet for the sick and 
convalescent. 

1008. Gelatine Jelly. 

Soak one ounce of gelatine for ten minutes in half a pint of 
cold water ; then add the same quantity of boiling water, 
and stir till the gelatine is dissolved, applying heat, if ne- 
cessary. Add half a pint of good wine, the peel and juice 
of two lemons, and sugar, according to the taste. Then add 
the shell and white of one egg, well beaten together ; boil 
the jelly for five minutes, and strain while hot through a 
piece of felt or flannel. Set aside in a cool place until the 
jelly becomes stiff. 

This is both palatable and nutritious. 

1009. Blanc Mange. 

Boil one ounce of shred gelatine in a quart of milk for ten 
minutes, stirring constantly. Sweeten to the taste, flavor 
with peach- water, or essence of vanilla, and strain into a 
mould. 

1010. Chicken Water. 

Take one half of a chicken divested of all fat, and break the 
bones ; add to this half a gallon of water, and boil for half 
an hour. Strain, and season with salt. 

This water is directed by some physicians in the early stages 
of cholera. Taken warm it promotes vomiting and washes 
out the stomach. 

1011. Chicken Broth. 

Clean half of a chicken, and pour on it one quart of cold 
water; add a little salt, and one tablespoonful of rice. 
Cover the vessel closely, and boil for two hours. Throw 
in near the end of the boiling a little parsley, chopped fine. 
Skim the broth before using. 

This is one of the most valuable articles of diet at the com- 
mand of the physician in the low stages of disease, when the 
patient's system requires support, but his digestive powers 
will not admit of solid food. 



DIETETIC PREPAKATIONS. 



32; 



1012. Suet Ptisan. 
Take of 

Mutton Suet 

Milk 

Starch. 

Boil slowly for half an hour. 

This may be used warm as a common drink in dysentery. 



2 ounces, 

1 pint, 

half an ounce. 



1 ounce, 
1 drachm, 
1 ounce, 
3 pints. 



1013. Mucilage of Starch, etc. 
Take of 

Starch 

Powdered Cinnamon 

Grum Arabic .... 

Boiling Water .... 
Boil until reduced one-third, and strain. 

The above may be taken for a common drink in dysentery. 

1014. Mulled Wine. 

Take two drachms of bruised cinnamon, half a nutmeg, 
grated, ten bruised cloves, and half a pint of boiling water. 
Infuse one hour, strain, and add of hot port, or hot sherry 
wine (or of good domestic wine), one pint, and white sugar, 
one ounce. Mix. 

This is a mild stimulant drink, used in the convalescence 
from low forms of disease. 



Wine Whey, 
(See Formula No. 342.) 

Mustard Whey. 
(See Formula No. 341.) 

1015. Rennet Whey. 
Take of 

New Milk . . . . .1 quart, 

Rennet .a large spoonful. 

Heat the milk and then add the rennet. Boil until the curd 
separates and is all taken off. 

To many persons this forms a very agreeable nutriment. 



326 DIETETIC PREPARATIONS, 

[1016. Brandy Mixture.'] 
Take of 

Brandy . ... . . .4 fluidounces, 

.Cinnamon Water . ... 4 fluidounces, 

The yelks of two eggs, 

Sugar J ounce, 

Oil of Cinnamon . . .2 minims. 

Beat the eggs perfectly light, add the sugar and cinnamon 
water ; then the brandy with the oil of cinnamon in solu- 
tion ; beat the whole together. 

A delightful nutriment in prostration or low fevers. 

From one to three tablespoonfuls to be taken as required. 

P. Squire. 

1017. Vinegar Whey. 

Take of 

Milk . . . . . . .1 pint, 

Yinegar half an ounce. 

Boil for a few minutes, and separate the curd. 

101.8. Tartar Whey. 

Take of 

Milk ....... 1 quart, 

Cream of Tartar .... half an ounce. 

Boil until the curd separates. 



OF POISONS. 



Cases of poisoning are so sudden and so awful that no time 
is to be lost in administering relief. To do this with judg- 
ment and effect, it is requisite to be familiar with all the usual 
antidotes; and of these, we have accordingly selected some 
which possesses an acknowledged efficacy, omitting at the 
same time many others that are unworthy of confidence. For 
the purpose of convenience we have arranged the Poisons 
alphabetically, with the appropriate antidotes attached to 
each. But, as has been remarked when speaking of Emetics, 
our chief reliance in these cases is upon free vomiting, in- 
duced by those articles which are most speedy in their effect. 
Dr. Beck prefers sulphate of zinc, whenever it can be procured, 
and adds, "but if vomiting be present, we may aid it by dilu- 
ents or a vegetable emetic. Tartrate of antimony should never 
be given." Yet, even from this treatment, little can be ex- 
pected when the deleterious substance has remained long in 
the stomach ; and the stomach-tube and syringe will be indis- 
pensable. 

To protect the stomach and intestines from the direct ope- 
ration of poisons, it is generally recommended to give milk, 
lime-water, soap, or drinks sweetened with sugar or honey. 
Oils and other fatty substances are found to be injurious. 

When the vomiting has ceased, and retching and pain con- 
tinue, Mr. Hume advises the free administration of carbonate 
of magnesia with tincture of opium, suspended in water. 

A general antidote for poisoning, in which the nature of the 
poison is unknown, consists of equal parts of calcined magne- 
sia, pulverized charcoal, and hydrated peroxide of iron, which 
are to be diffused in water, and be given freely. Although 
these articles are simple and innocent in their operation on 
the system, they will probably prove efficient, as one or 
another of them is an antidote to most of the mineral poisons. 

The albumen of eggs and tannic acid are also general anti- 
dotes of great value. The former neutralizing corrosive sub- 



328 of poisons. 

limate and other salts, and the latter precipitating all of the 
vegetable alkaloids as tannates. 

ALCOHOL. 

Large quantities of alcoholic liquors, taken by persons 
unaccustomed to their use, often produce fatal effects. 

The treatment in such cases is to evacuate the stomach as 
soon as possible ; but from the rapidity of absorption this 
may not always be effectual. The patient must be kept 
roused and cold affusion plentifully used. Large draughts of 
tea or coffee ought to be taken until the stomach is thoroughly 
evacuated. 

ALKALIES. 

Ammonia, 2^otassa, soda, and their carbonates, are seldom 
taken in poisonous quantities. When it so happens, the best 
antidote is common vinegar; it is always at hand, and its 
affinity for these substances is sufficiently strong to neutralize 
them. Also, a fixed oil, as olive oil, should be given in large 
quantity — several pounds being required where a large por- 
tion of the alkali has been taken; it acts partly by rendering 
the vomiting easy and free, and partly by converting the 
alkali into a soap. 

ANTIMONY. 

The preparation of this mineral, by which poisoning is 
most commonly produced, is tartar emetic. This of itself pro- 
duces violent vomiting, and therefore our first efforts should 
be directed to keeping up the emesis by means of mild diluents 
and mucilaginous preparations. Its antidotes are the alkalies, 
tannin, and astringent vegetable infusions, such as common 
tea, Peruvian bark, infusion of galls, etc. These decompose 
the antimonial salt. When the vomiting is excessive, opium 
by injection will assist in allaying it. 

AESENIC. 

Until the present century there was no known antidote to 
this deadly poison, and the sole dependence of the practitioner 
was upon mild diluents, albumen (such as the whites of eggs 
suspended in milk), or warm water and sugar. In the treat- 
ment of poisoning by arsenic, it is best first (if vomiting has 



of poisons. 329 

been delayed) to give an emetic of mustard, or of the sulphate 
of zinc, and milk should be drunk liberally both before and 
after vomiting has begun. The patient should never be 
allowed to exhaust his strength in retching, without some 
milk or other fluid in his stomach to act on. The Cornish 
miners rely upon olive oil as an emollient to the stomach. 

The Hydrated Peroxide of Iron, freshly prepared, was 
announced in the year 1834, by Dr. Bunsen, of Grottingen, as 
an antidote for poisoning by arsenic; and its efficacy has been 
confirmed by MM. Orfila, Lesueur, Soubeiran, and Miguel, 
and also in this city by various chemists, and by experiments 
upon the inferior animals. The antidote is now officinal, and 
should always be kept on hand. 

The following direction will enable the most ignorant per- 
son to make use of this antidote until medical advice can be 
obtained. It must be administered as soon as possible after 
the discovery that arsenic has been taken, and as it causes no 
bad effect itself, should be given every five or ten minutes, 

UNTIL ENTIRE RELIEF IS OBTAINED. It is said that twelve 

parts of it are necessary to neutralize one of arsenic. The 
dose for a grown person is a tablespoonful ; for children a 
teaspoonful. The bottle to be well shaken before each 
dose. In cases of emergency, it may be prepared by 
simply precipitating the muriated tincture of iron, or 
a solution of the persulphate of iron, by ammonia, and 
washing the precipitate. 

Should the patient survive (and the probability is in his 
favor if the antidote be given early and faithfully), the inflam- 
matory symptoms must be combated on the general principles 
for treating inflammation. The diet should consist exclusively 
of milk, gruel, cream, rice, and similar bland articles for 
several days. 

In a case of poisoning in this city, where half an ounce of 
the powdered arsenic had been taken, and was followed by 
extreme thirst and vomiting, all the symptoms were allayed 
by freely taking the hydrated peroxide of iron. Only a slight 
gastritis followed, which was readily subdued. 

The hydrated oxide forms with the arsenious acid an inso- 
luble salt. 

In place of the hydrated oxide, the rust of iron and precipi- 
tated carbonate should be resorted to in cases of emergency, 
possessing as they do, to a certain extent, the power of anti- 
dotes. Magnesia, in the gelatinous or hydrated state, if given 
in large doses, acts also as an antidote, and in several cases 
lately reported was used with complete success. It can be 



830 OF POISONS. 

rapidly prepared by precipitating a solution of Epsom salts 
by ammonia. 

When the poison has been taken in the form of Fowler's 
solution, Dr. Dunglison recommends copious draughts of lime- 
water to be used ; but this should not preclude the employ- 
ment of the hydrated oxide of iron. 

BARYTA. 

The carbonate of baryta and the chloride of barium are 
poisonous, and the latter has been taken by mistake for Glau- 
ber's salts. In cases of poisoning with either, the alkaline 
sulphates should be given freely, and resort be had to the 
stomach-pump and emetics. The true antidote is sulphate of 
magnesia or soda; with these a sulphate of baryta is formed, 
which is perfectly insoluble, and may be brought off by 
emetics and copious diluents, oleaginous or albuminous. 

COPPER. 

The sulphate (blue vitriol) and subacetate (verdigris) are 
the salts of this metal from which poisoning most frequently 
results; the latter often from the careless use of culinary 
vessels or mineral-water fountains. 

Vomiting should be encouraged by the free use of tepid 
water, milk, and mucilages. 

According to Orfila, albumen in the form of white of eggs 
is the best antidote, and sugar, formerly in much repute, acts 
only as an emollient. In the absence of eggs, milk or wheaten 
flour should be employed. Vinegar in all cases must be 
avoided. The French physicians have tried iron-filings, in 
consequence of the power possessed by this metal of reducing 
the salts of copper ; and the results they obtained, in some 
experiments performed on animals, are such as to justify con- 
siderable confidence in the antidote. The iron decomposes 
the cupreous salt, and precipitates the copper in a metallic 
and consequently in an inert state. 

GOLD. 

The nitro-muriate or terchloride of gold is a powerful poi- 
son. Its antidotes are sulphate of iron (which throws down 
the gold in a metallic state), and albuminous substances, fol- 
lowed by the free use of mucilaginous drinks. 



OF POISONS. 331 



IODINE. 

Ten or twenty grains of iodine sometimes, though, not 
always, produce constriction of the fauces, nausea, vomiting, 
and severe colic pain. Larger doses endanger life. The best 
antidote for its preparations is starch freely given, or, what 
answers the same purpose, flour mixed with water. Magnesia 
is also recommended. Yomiting should be induced by mus- 
tard or some other prompt emetic. 

LAUDANUM. 

Laudanum, when taken in large quantity, must be with- 
drawn from the stomach by active emetics, such as mustard, 
sulphate of zinc, sulphate of copper, or alum, or by tickling 
the fauces. The stomach-tube should then be used to remove 
whatever remains of the laudanum in the stomach. This 
should be followed by a purgative, to carry off any of the 
poison that may have entered the bowels. The free use of 
vegetable astringents and strong coffee will also be serviceable. 
An important part of the after-treatment is the maintenance 
of artificial respiration, besides which active stimulants are 
often required. Iodine, bromine, and chlorine are stated by 
M. Donne, of Paris, to be antidotes for poisoning by nux 
vomica and opium. M. Ornla thinks that the decoction of 
galls may with propriety be used as an imperfect antidote, 
until the narcotic can be evacuated from the stomach. (See 
Opium.) 

LEAD. 

The acetate is the only preparation which is resorted to as 
a poison. The sulphate of magnesia or soda is its true anti- 
dote, as it converts the poison into a sulphate, which is inert. 
The alkaline carbonates and bicarbonates and the phosphate 
of soda are also good antidotes. If the patient does not 
vomit, give an emetic of the sulphate of zinc, which will not 
only empty the stomach, but convert any remaining soluble 
lead into an insoluble sulphate. 

Milk or albumen should also be given in large quantities, 
as it has been found that the albuminous principle of milk is 
a very effectual precipitant of the oxide of lead; a compound 
which, though not entirely inert, is far less active than the 
acetate, and tends to prevent the action of the poison as a 
corrosive on the stomach. 



332 of poisons. 

MERCURY. 

All the preparations of this metal are poisonous, and corro- 
sive sublimate in particular. Our chief and only dependence, 
according to M. Orfila, is upon the albumen of eggs, copiously 
swallowed, or introduced through the stomach-tube, which 
should be resorted to when the patient cannot swallow or 
vomit. Enemata of the same should also be used. 

If the albumen be taken in sufficient quantities, it decom- 
poses the sublimate, forming a triple compound of albumen, 
muriatic acid, and calomel. If the remedy excites fresh vomit- 
ing, so much the better ; and if symptoms of gastritis appear, 
they are to be treated in the usual way. M. Orfila has also 
established that a fatal dose of corrosive sublimate may be 
swallowed by animals with impunity, provided the white of 
egg, or any other kind of fluid albumen, be introduced shortly 
before or after into the stomach. Cases are also upon record 
which establish that it possesses an equal efficacy in man. 

The gluten of wheat flour is also strongly recommended 
on the same principle, as an antidote to corrosive sublimate. 
To administer it, nothing more is requisite than to mix the 
flour with water. The quantity taken must be very con- 
siderable. It is said to reduce the sublimate to the state of 
calomel. 

Gluten of wheat flour is also given in the form of an emul- 
sion with soft soap, by mixing partly in a mortar and partly 
with the hand 5 or six parts of fresh gluten with 50 parts of 
soft soap. 

When neither albumen nor gluten is at hand, milk forms a 
good substitute. 

The only other antidotes deserving of mention here are a 
mixture of two parts of iron filings and one of zinc, meconic 
acid, and the hydrated proto-sulphuret of iron. The first was 
recommended by Dumas, and must obviously operate by 
bringing the mercury to the metallic state. The meconic 
acid, particularly when combined with an alkaline base, affords, 
with corrosive sublimate, an insoluble and inert permeconate 
of mercury. The meconates of the ordinary alkalies, however, 
can scarcely be obtained in sufficient quantity to be applied 
to such a purpose; and from the smallness of the saturating 
power of meconic acid, it would be hazardous to administer 
the quantity of opium which would be adequate to the decom- 
position of a few grains of corrosive sublimate, inasmuch as 
the muriate of morphia, which would be contemporaneously 
formed, is a narcotic medicine of very considerable energy. 



of poisons. 333 

The hydrated proto-sulplmret of iron was proposed by Mialhe, 
and confirmed by Orfila, who says that if it be taken imme- 
diately after the ingestion of the poison, it completely destroys 
the poisonous quality of corrosive sublimate. 

MINEEAL ACIDS. 

The first, because the most ready method of counteracting 
the action of the mineral acids, is the copious use of water, 
warm or cold, milk, oil, or mucilage, which, by simply dilut- 
ing them, renders them less acrid, and at the same time assists 
the stomach in rejecting them. This course should be fol- 
lowed until the proper antidotes are prepared. These are the 
alkalies, alkaline earths and soaps, common pearlash or car- 
bonate of potassa, carbonate of magnesia, chalk, and soap in 
solution. Calcined magnesia, though advised by some authors, 
is objectionable, inasmuch as the rapidity with which it would 
combine with acid in the stomach, might alone produce in- 
flammation of that organ. 

The smallest quantity of nitric acid which is known to have 
destroyed life is two drachms ; the smallest fatal dose of muri- 
atic acid was one ounce. 



NAKCOTICS. 

The remedies employed in all cases of poisoning from this 
class of substances, are nearly the same, viz., the most active 
emetics, as sulphate of zinc, alum, and mustard in large doses. 
In all cases where it is possible, the stomach-tube should be 
employed. After these evacuations, tannic acid or strong 
decoctions of tea, coffee, or the vegetable astringents, with 
cold affusion, are proper. Electro-magnetism is also service- 
able, together with brandy, ammonia, and other powerful 
stimulants, and artificial respiration. 

There is no positive antidote to any of the vegetable alka- 
loids. Tannic acid combines with all of them, and forms salts 
which are insoluble in water, but are soluble in vinegar and 
the gastric juice. Hence, the administration of this acid is 
beneficial, time being gained for the removal of the poison in 
the form of a tannate from the stomach. If not removed, the 
tannate will be dissolved by the gastric fluids. After emesis, 
charcoal may be given freely, as it possesses the singular pro- 
perty of absorbing and retaining coloring matters, vegetable 
acids, and the alkaloids. 



334 of poisons, 



NITEE (Nitrate of Potassa). 

This salt is sometimes taken in mistake for Epsom or Glau- 
ber's salts. When this happens, vomiting should be excited 
as speedily as possible, followed by the free use of mucilagi- 
nous drinks, hot gin-toddy, brandy and water, etc. 

As there is no antidote to this poison, in case these means 
should fail we must resort to the stomach-pump. 

OPIUM. 

We cannot do better in this place than transcribe what Dr. 
T. E. Beck, of Albany, says of the antidotes to opium. 

" The experiments of Orfila have demonstrated that the 
administration of vinegar, or rather vegetable acids, previous 
to the evacuation of the poison by vomiting, will accelerate 
and aggravate the action of the opium ; but that when the 
opium has previously been expelled, water acidulated with 
vinegar, or any other vegetable acid, will tend to diminish 
and correct the effects. Coffee, when prepared in strong de- 
coction or infusion, rapidly lessens the symptoms, but cannot 
be considered as an antidote. The result of his experiments 
led him to give the following directions for the treatment of 
a person poisoned by opium. Induce vomiting, if possible, 
with sulphate of zinc, or sulphate of copper ; but the adminis- 
tration of watery liquids with the view of promoting the 
vomiting, should be forbidden, as they dissolve the opium 
and promote its absorption. In order to insure the action of 
the emetic, the patient must be kept roused by discharging 
cold water over the head and breast ; yet cold affusion must 
be avoided in the advanced stage, when the body is cold, and 
the breathing scarcely perceptible. To insure success, in 
every case the patient must be kept awake, either by 
dragging him up and down between two men, or by flagella- 
tion on the back and soles of the feet. Artificial respiration 
may be used in desperate cases with propriety. Bleed the 
patient immediately after the rejection of the poison, and 
repeat this if necessary. Afterwards administer alternately 
water acidulated with any vegetable acid and a strong infu- 
sion of coffee 1 warmed, and in ten or twelve hours exhibit an 
enema, and let the arms and legs of the patient be well 
rubbed. Purgative clysters should be continued, if it be 

Dr. H. F. Campbell reports a case in which an injection of twenty grains 
of caffein in an infusion of coffee was attended with the happiest effect. 



of poisons. 335 

suspected that any of the opium still remains in the large 
intestines." — Beck, Med. Jurisprudence, vol. ii. p. 403. 

These remarks are applicable to the poisonous effects 
induced by other articles of the Narcotic class, as belladonna, 
hyoscyanrus, stramonium, etc. Yet as these are not often 
taken with siiicidal intentions, the quantity is seldom inordi- 
nately large. Emetics, if given soon after the poison has 
been swallowed, will at least remove a part of it ; after which 
the practitioner must necessarily be governed in the treatment 
by the nature of the peculiar poison, the amount taken, and 
the patient's constitution. Stimulants are occasionally neces- 
sary from the first ; in other instances, depletion ; but more 
frequently, each is in turn called for. 

As belladonna and opium manifest a different, and in some 
respects an opposite effect upon the brain, they have been 
recommended as antidotes to each other in cases of poisoning. 
This recommendation, however, should not interfere with the 
measures above described. It may be received as an adjuvant, 
but not as a substitute for the usual plan of treatment. 

OXALIC ACID. 

Death from this poison is generally sudden. Lime-water, 
or a mixture of chalk and water, is recommended by Dr. 
Thompson, for the purpose of converting the acid into oxalate 
of lime. The carbonate of magnesia, also, has been found by 
experiment to counteract the poison ; but the alkalies must 
be avoided, as they act with an energy little inferior to the 
acid itself. 

It is advisable to avoid giving warm water with a view to 
accelerate vomiting ; for dilution promotes the absorption of 
the poison. 

PHOSPHOKUS. 

This substance acts so immediately and so powerfully in 
decomposing the animal tissues, that no available antidote 
has hitherto been suggested. A small portion is sufficient to 
destroy life. Nevertheless, large quantities of mild demul- 
cent liquids should be exhibited to shield the alimentary 
canal, and magnesia to neutralize the phosphorous and phos- 
phoric acids which may be formed. 

PKUSSIC ACID. 

This deadly poison, in its purity, acts with such rapidity as 
to leave no time for the administration of antidotes. When 



336 of poisons. 

taken in small quantities, much diluted, its action is less rapid, 
producing symptoms of excessive prostration, convulsions, 
and coma. Cold affusion to the head has been found very- 
effectual in such cases, and when applied before the convul- 
sive stage has passed, has often succeeded. The head should 
be kept elevated, and the water poured from a height upon 
the occiput and spine. The inhalation of ammonia is the 
antidote most to be relied on, many experiments having 
proved its efficacy. It should not be used of too great 
strength, which would endanger inflammation of the air- 
passages and stomach ; the strong aqua ammonia, diluted with 
twelve parts of water, is recommended by Orfila. 

Chlorine also possesses strong claims as an antidote, and, 
from the results of his experiments, is believed by Orfila to 
be the best which has yet been proposed. 

In all cases, artificial respiration should be kept up while 
there is a hope of sustaining or restoring life. 

Ether and chloroform have been recommended, and no 
doubt will eventually prove of great value from the rapidity 
with which they act. 

Cases of poisoning with the oil of bitter almonds, cherry- 
laurel water, and other substances containing prussic acid, are 
not unfrequent, particularly among children. After evacu- 
ating the stomach, these require the same treatment as for 
prussic acid. 

Poisoning by cyanide of potassium may be best treated, 
according to Dr. Alfred S. Taylor, by a strong solution of 
sulphate of iron. 

SILVEK. 

The nitrate of this metal is sometimes taken by mistake; 
its antidote is comon salt, largely given, with copious draughts 
of mucilaginous drinks to promote vomiting. The salt pro- 
duces an insoluble chloride, which has no power on the system. 

TIN. 

When any of the salts of tin are taken, albumen of eggs, 
flour, or milk, given freely, is the appropriate remedy. Milk 
forms a coagulum with the chloride of tin (Dyer's spirit), and 
renders it innoxious. Lime-water or the alkalies would de- 
compose this salt, and thus render it inert. 



of poisons. 337 

VEGETABLE POISONS. 

See "Narcotics" and "Opium." 

ZINC. 

The sulphate of this metal is occasionally taken in an over- 
dose. Warm water and emollient drinks are proper in such 
cases; but milk is particularly useful, from its power of de- 
composing the sulphate; also albumen, magnesia, etc. Vege- 
table astringents may be beneficially used. 

The crystallized sulphate of zinc very closely resembles 
the sulphate of magnesia, and has been mistaken for it — a 
fact to be borne in mind by apothecaries and physicians. 



22 



APPENDIX 



I. ON THE ENDERMIC USE OF MEDICINES. 

" The science of medicine," says Dr. Gerhard, 1 "has recently 
received an important auxiliary to its resources, by the dis- 
covery that remedial substances, when applied to the cutis, 
after the removal of the epidermis, produce their peculiar 
effects with nearly the same energy as if introduced into the 
alimentary canal. This mode of exhibition, which has re- 
ceived the name of the endermic method or endermic medication, 
is always found much more efficacious than the iatroleptic 
method of Christien, or the administration of medicines by 
means of frictions on the cuticle." 

The endermic method requires the previous separation of 
the cuticle, which is best effected by a blister about four inches 
square. The cuticle should then be punctured or removed in 
very small patches, so that the medicine may come in contact 
with the vesicated surface. Substances used in this way must 
be applied in two or three times the quantity requisite when 
given by the mouth. "The remains of the substance applied 
are much less than the original quantity, and sometimes no 
trace of it can be perceived; the whole appearing to be ab- 
sorbed or mingled with the secretions." 

We avail ourselves of Dr. Gerhard's valuable paper for the 
following facts in relation to those medicines which act most 
effectually in the endermic method. 

Sulphate of Quinia. — A blister to be applied to the epi- 
gastrium during the apyrexia; and if the paroxysm returns 
before the quinia can be used, defer it until the next apyrexia. 
Apply four grains of powdered sulphate of quinia (either 
alone or with an equal quantity of starch), four times a day, 
for two successive days. A less irritating plan, however, is 

1 North Amer. Med. and Surg. Journ., April, 1830. 



340 OX THE USE OF ETHER AND CHLOROFORM. 

to dissolve sixteen grains of the sulphate in two ounces of 
water, with which the blistered surface is to be repeatedly 
wet during the day by means of a soft linen cloth. There is 
no occasion to remove the loose epidermis ; it is all-sufficient 
to puncture it in several places to allow the solution to touch 
the denuded surface. 

Morphia. — The acetate and sulphate act readily and effectu- 
ally ; the latter is preferable, because more soluble and less 
irritating. It may be applied in powder, in solution, or in 
the form of cerate. The close varies from half a grain to two 
grains, and its effects are speedily perceptible. 

Digitalis. — Dose, two grains three times a day. 

Aloes. — This medicine acts on the bowels with nearly the 
same certainty as if taken internally. Dose, ten grains, to be 
repeated, if necessary, in a few hours. 

Gamboge, owing to its solubility, purges freely in the en- 
dermic method. Dose, from five to eight grains. 

Rhubarb, jalap, elaterium, and croton oil, contrary to what 
might be expected, do not produce catharsis, although they 
excite severe local irritation. 

Squills. — This medicine in powder, sprinkled on a blistered 
surface three times a day, in the quantity of four grains at 
each application, causes copious diuresis. Its power is in- 
creased by combination with digitalis, in the proportion of 
four grains of the former to one of the latter. 

Emetics from the vegetable kingdom all produce their effect 
in the endermic method ; and tobacco does so without any 
previous irritation of the skin. The same remark is appli- 
cable to mercury and iodine, which last is best applied in the 
form of ointment, made by rubbing a drachm with an ounce 
of cerate. 

Emetics derived from the mineral kingdom exert no specific 
action. B. E. 



II. ON THE USE OE ETHER AND CHLOROFORM. 

The employment of anaesthetic agents has now become so 
general, and their great value so fully attested by many emi- 
nent physicians and surgeons in all parts of the world, that 
we shall here give a brief account of their uses and mode of 
application. 

Indeed, the discovery of a means by which to give com- 
plete insensibility to pain during the performance of tedious 



ON THE USE OF ETHER AND CHLOROFORM. 341 

surgical and dental operations, as well as to mitigate the 
spontaneous sufferings attendant on many diseases, must be 
considered one of the most important in the annals of medi- 
cine. That pain is useful in indicating the seat and progress 
of disease, cannot be denied; yet, on the other hand, its 
severity may exhaust life, and to allay it is often the most 
difficult and necessary part the physician is called upon to 
perform. The inhalation of ethereal substances now gives 
the practitioner more or less control over these "ills that 
flesh is heir to," enabling him to alleviate some, and wholly 
to prevent others. 

Notwithstanding the benefit to be derived from its judi- 
cious use, the mode of inhalation is also capable of producing 
much evil in the hands of the unskilful and ignorant ; and it 
should, therefore, be employed by those only who are ac- 
quainted with its diversified operation. 

Ether and chloroform produce essentially the same effects, 
but the latter is much the more powerful and rapid in its 
action. 

The progressive stages of etherization seem to be pretty 
much as stated by Mr. Sibson, viz : — 

1. Cerebral excitement. 

2. Cerebral derangement, staggering intoxication. 

3. Cerebral sleep (sopor); pupils contracted ; dreams ; reflex 
functions of the brain and spinal marrow still active. 

4. Cerebral death (coma); reflex functions of the medulla 
and spinal marrow still active. 

5. Death of spinal marrow ; cessation of respiration (heart's 
action generally still present). 

6. Cessation of heart's action. 

He also says: "It is very important to be able to tell easily 
when the stage of safety — sopor, is about to merge into that 
of danger — coma. The action of the pupils is the key to this 
knowledge. Inhalation should not be continued one instant 
after the pupils, previously contracted, have begun to dilate. 

"If unconsciousness can be secured by sopor, the inhala- 
tion should not be carried on to produce coma. If complete 
muscular relaxation be sought for, as in hernia, to facilitate 
taxis ; in dislocation, to make reduction easy ; and in tetanus, 
then it will be needful, in general, to urge the patient from 
sopor into coma ; but as soon as the muscular relaxation is 
secured, the inhalation should cease. When chloroform or 
ether is employed in chorea, delirium tremens, or other affec- 
tions, it should never be urged beyond sopor. In neuralgia, 



342 ON THE USE OF ETHER AND CHLOROFORM. 

it is not usually needful to produce unconsciousness. When- 
ever the pain disappears, the inhalation ought to cease." 

According to Dr. Snow, a necessary precaution for watch- 
ing the effects of ether and chloroform is, that they possess 
an accumulative property ; their influence sometimes increas- 
ing for twenty seconds after the inhalation is discontinued. 
It is seldom necessary to carry the process farther than the 
production of sopor ; in this dreamy state insensibility to 
pain is perfect, and in some persons much earlier. Many 
patients seem to be perfectly awake to all mental impressions, 
and even take an interest in the progress of the operation, 
without feeling the slightest pain, and, indeed, in some in- 
stances, experiencing agreeable sensations. 

The influence of these agents being transmitted by the 
blood, pervades the whole system simultaneously, and par- 
ticularly excites the capillary circulation, as evinced by the 
injected conjunctiva, increased lachrymal and salivary secre- 
tions, and turgidity of the face and neck, the redness of which, 
however, soon gives place to pallor. 

Although used heretofore only to produce general effects, 
it has lately been discovered by Mr. T. Nunneley, of Leeds, 
that local anaesthesia may be caused by these agents; and 
that the brain and other parts of the body not subjected to 
their influence remain unaffected. After an extensive series 
of experiments on different animals, he finds that, by immer- 
sion in a small quantity of the fluid, or by applying the vapor 
locally for a limited period, a limb may be rendered perfectly 
motionless and senseless, and, what may be an additional 
advantage, fixed in any desired position. The benefits likely 
to be derived from this new and valuable discovery promise 
to be very great. 

As regards the mode of applying these vapors, the princi- 
pal thing to be observed is, that they be freely diluted with 
atmospheric air. Many instruments for inhalation have been 
invented, but most of them have given place to a simple 
sponge ; and in the case of chloroform, a towel or handker- 
chief is perhaps as good as anything yet proposed. The 
degree of etherization does not depend so much upon the 
amount respired, as upon the peculiar constitution of the 
individual, and the physician is thus better able to regulate 
the amount, and judge of its effect. A drachm of chloroform, 
or even half a drachm, poured upon a handkerchief, and 
gradually brought close to the mouth and nose, will, in about 
two minutes, more or less, produce the required effect. Of 
ether, half an ounce may be poured upon a sponge, and more 



ON THE USE OF ETHER AND CHLOROFORM. 343 

added from time to time if required. The full effect of ether 
is not generally obtained in less than four or five minutes. 
As regards their comparative merits, it may be said of chloro- 
form that it is less pungent, and requiring a less amount is 
more easily inhaled; but it is also said to have a greater 
tendency to produce involuntary muscular contraction, and 
exerts a more direct and powerful action on the heart than 
ether. As far as present experience goes, ether has been 
found the milder and safer of the two; and in the case of 
children, from their greater susceptibility, should always be 
given in preference to chloroform; etherization, in them, 
occurring in about two minutes. 

. According to Dr. Snow, the immunity from pain does not 
correspond exactly with the degree of narcotism, but is greater 
as the patient is recovering from the effects of the vapor than 
in the corresponding degree as he is getting under its influ- 
ence ; this is more particularly the case with ether, which he 
considers to possess superior anaesthetic effects to chloroform 
in proportion to the narcotism produced. When ether is in- 
haled, the patient sometimes completely recovers his mental 
faculties, although insensibility to the operation still con- 
tinues. 

The use of ether or chloroform is contra-indicated by the 
existence of any disease of the heart, tendency to engorge- 
ment of the lungs, or aneurism of any of the great vessels ; 
nor should it ever be used either during the existence of 
shock resulting from a severe injury. 

The existence of extreme debility is not always a contra- 
indication ; for, acting as a stimulant, the inhaled vapor seems 
to possess a sustaining power, and has been successfully used 
in a state of great collapse, as well as for its sedative influ- 
ence in low cases of typhus fever. 

Perhaps one of the most important uses of ether and chlo- 
roform is that for the relief of stricture, and to render easy 
the introduction of the catheter; here, in old and sensitive 
cases, as well as in retention of urine and the passage of cal- 
culi, they are invaluable. 

The physician, in using these vapors, should bear in mind 
that he is administering an agent of great power, of which he 
must carefully observe the effect; for the life of the patient 
is in his hands. In some constitutions, six or seven inspira- 
tions of chloroform have produced complete insensibility, and 
we should always be on our guard lest alarming symptoms 
suddenly supervene. These are marked by suspended respira- 
tion, livid skin, widely dilated pupils, the" eyes fixed, and the 



344 ON THE USE OF ETHEK AND CHLOROFORM. 

iris immovable. The patient should be immediately laid upon 
the floor, cold water dashed upon the face, and the vapor of 
ammoDia applied to the nostrils. These will generally restore 
animation; if, however, respiration has entirely ceased, it will 
be necessary to bring it about by artificial means. The ab- 
straction of a few ounces of blood from the arm, or from the 
jugular vein, will also assist the renewal of the heart's action, 
by relieving distension. 

We should be careful, also, not to endeavor to make the 
patient swallow anything while in this state of insensibility, 
as cough might induce suffocation and hasten death. 

Besides sulphuric ether and chloroform, various other pre- 
parations have been found to possess anaesthetic properties.; 
as Aldehyde, Benzoin, Acetic Ether, Bisulphuret of Carbon, 
etc., but sufficient experiments have not yet been made to 
determine their relative value. 

As the action of chloroform depends upon its comparative 
purity, this may be tested by dropping it into the following 
mixture, viz : Sulphuric acid at 66° and distilled water, equal 
parts. When cool, this mixture will have a density by the 
areometer of 40°. (Sp. gr. 1.38.) Pure chloroform dropped 
into this liquid will fall to the bottom. 1 S. Gr. Morton. 

Dr. B. Q. Eichardson, of London, has recently brought to 
the notice of the profession a new anaesthetic, which he very 
highly extols as having all the good effect of chloroform, 
with greater safety and less disagreeable impressions subse- 
quently; this is the Bichloride of Methylene, or, as it has 
been named by Spencer Wells, "Chloromethyl." Dr. R. says 
of it that, having tried it upon the lower animals, and very 
fully upon himself, he has arrived at the following conclu- 
sions, viz., that it is more rapid than chloroform in its effects, 
produces less prolonged second degree of narcotism, complete 
narcotism prolonged and easily reproduced, and the recovery 
from its effects very rapid; its power of destroying life in the 
lower animals much below that of chloroform. It is soluble 
in ether and chloroform in all proportions. 

In the administration of anaesthetics, two very important 
points may be gained by proper attention to the method of 
its exhibition, viz., rapidity of action and economy of ma- 
terial. The former will be best insured by having a large 
evaporating surface, without much bulk of absorbing tissue, 

1 French Journal of Pharmacy, 1848. 



ON THE USE OF ETHEK AND CHLOROFORM. 345 

upon which, the liquid is poured for evaporation; the latter, 
bv having the absorbing tissue completely covered by some 
impervious material, to prevent external evaporation. Both 
these ends may be very happily attained by a method which 
the editor has been in the habit of using for some time in his 
practice, as follows: Take a large India-rubber ball, such as 
are sold in the shops for foot-balls, say about six inches in 
diameter, and cut in it an opening large enough to receive 
the face from the chin to the bridge of the nose, shaping it so 
that when adapted to the face it will fit closely, there being 
a notch at the upper portion in which the upper part of the 
nose will rest, leaving the eyes clear of any contact with the 
inhaler; then take one or two thicknesses of patent lint, 
according to the quality or weight of it, and line the whole 
internal surface of the ball, within about an inch of the mar- 
gin, fastening it by linen thread or silver sutures 'partially 
carried through the walls of the ball; the ridges of gum 
which are found upon the inside of these balls afford a good 
attachment for the lint. It is then ready for use, giving a 
portable inhaler which can be rolled up and put in the pocket, 
having a large evaporating surface, easily kept in position 
over the face without bringing the anaesthetic in contact with 
the skin (a point of no small importance in an irritable cuticle), 
allowing no more mixture of atmospheric air than you wish, 
no external evaporation ; and giving great rapidity of action, 
with no waste of fluid. I have produced complete anaesthesia 
with a fluidrachm of a mixture of one to two of chloroform 
and ether, and believe half an ounce of pure ether will have 
the same effect in a very much shorter' time than the old 
method of administration. 

A. H. S. 



GENERAL INDEX. 



PAGE 

ABSORBENTS . . .220 

Alcohol, as a poison . . 328 
Alkalies, as poisons . . . 328 
Alteratives . . . .192 

Antacids 220 

Antemetics .... 38 

Anthelmintics .... 120 
Anti-intermittents . . .164 
Antilithics .... 72 

Antimony, as a poison . . 328 

Antispasmodics . . . .156 
Arsenic, as a poison . . . 328 
Astringents . . . .196 

Atomized fluids . . . .111 



BATHS 302 
Baryta, as a poison . . 330 
Beverages for the sick . .313 
Blisters 235 



CATAPLASMS . . . 300 

Cathartics . . . .42 

Caustics 227 

Chloroform, as an anesthetic . 340 

Collyria 248 

Copper, as a poison . . . 330 



DIAPHORETICS . . . 77 

Dietetic preparations . . 313 

Diuretics ..... 60 

Disinfectants .... 307 



EMETICS . . . .33 

Emmenagogues . . .113 
Eudermic use of medicines . 339 

Enemata . . . 57, 127 

Epispastics .... 235 





PAGE 


Escharotics 


. 227 


Ether, as an anesthetic 


. 340 


Expectorants 


. 89 


External applications . . 227, 248 


FOMENTATIONS . 

Jl Formulary proper . 1 


. 304 


53-326 


Fumigations 


. 305 


GARGLES 

IX Gold, as a poison . 


267 


. 330 


TNHALATION . 

X Injections, for the rectum 5 


106 


7,127 


for the ear 


256 


for the nostrils 


258 


for the urethra 


. 259 


for the vagina . 


264 


subcutaneous . 


265 


Inoculation of medicines 


265 


Iodine, as a poison 


331 


Issues .... 


233 


T AUDANUM, as a poison . 
Jj Lead, as a poison . 


331 


331 


Liniments .... 


273 


Lithoutriptics 


72 


Lotions .... 


273 


1/TINERAL acids, as poisons 
111 Medicated pessaries 


ooo 


265 


Mercury, as a poison . 


So2 


Mouth washes . 


. 267 


VTARCOTICS . 

aS as poisons 


. 138 


333 



3-18 



GENERAL INDEX. 





PAGE 


PAGE 


Nitrate of potassa, as a poison 


334 


OETONS . . . . .233 
U Sialagogues . . . - . 160 


Nitrate of silver, as a poison 


336 






Stimulants . . . .128 






Suppositories . . . 59, 149 


AINTMENTS . 

\J Opium, as a poison 


285 


Syrups ..... 93 


334 




Oxalic acid, as a poison 


335 


^TARTAR EMETIC, as a poison 309 
1 Tin, as a poison . . . 336 






PESSARIES, medicated . 
A. Phosphorus, as a poison 


265 


Tonics . . . . .164 


335 




Poisons and their treatment 


327 




Poultices .... 


300 


TTAGINAL injections . . 264 
T Vegetable poisons . . 337 


Prussic acid, as a poison 


335 


pUBEFACIENTS . 


239 


yiNC, sulphate of, as a poison . 337 



INDEX OF THE FORMULARY PROPER. 



The figures indicate the number of the Formula. 



ACETIC acid and ammonia gargle, 802 
and camphor liniment, 840 
Acetate of ammonia and antimonial 
wine, 160 
and camphor water, 732 
and assafcetida, 227 
and aconite, 170 
and opium, 733 
and spirits of nitre, 161 
of potassa and ammonia, 124 
and buchu, 125 
and digitalis, etc., 116 
Aconite and acetate of ammonia, 170 
and.carron oil, etc., 817 
and colchicum, 169 
and Dover's powder, 361 
and veratrum viride, 171 
Acorns, infusion, 506 
Actual cautery, 650 
Alcohol and vinegar collyrium, 716 
Alkaline baths, 959 
Almond and ipecac, 212 
Aloes, canella, and serpentaria, 260 
and canella, 281 
enema of, 309 
iron, and cloves, 269 
and castor, 280 
ignatia, and opium, 472 
and gentian, pill, 55 
jalap, and iron, 266 

and blue pill, 39 
alkaline mixture of, 82 
and pepsin, 490 
podophyllin, and iron, 478 
guaiac, and rhubarb, 56 
quinia, and blue pill, 537 
zedoary, gentian, etc., 516 
Aloin and podophyllin pill, 43 
Alum, burnt, 658 

and calomel ointment, 902 
and catechu pessary, 786 



Alum — 

catechu, and opium, 596 

collyrium, 712 

compound powder of, 585 

curd, collyrium, 718 

douche, 757 

gargle, 795 

and oak bark gargle, 789 

and opium, 589 

powder of, 4 

and pomegranate gargle, 796 

sage, and honey gargle, 812 

and sulphate of zinc mixture, 11 

whey, 624 
Amber, camphor, and carbonate of am- 
monia, 839 
Amber oil and cloves liniment, 847 

and croton oil liniment, 700 

liniment of, 843 

and tolu, 215 
Ammonia and assafcetida, 331 

cantharides, and gentian, 276 

carbonate of, 317 
and quinia, 438 

effervescing mixture of, 318 

and ginger, 320 

glycerin, etc., 857 

muriate of, injection, 764 

mixture, 572 

caustic, 669 

phosphate of, 573. 

and salt of tartar, 641 

and tartar emetic liniment, 842 

and valerian, 319 

magnesia, etc., 645 
Ammoniac, castor, etc., 240 

conium, and squill, 188 

and squill, 210 

and nitric acid, 232 

squill, and calomel, 189 
and paregoric, 220 



350 



INDEX OF THE FORMULARY PROPER. 



Ammoniac — 

tolu, and senega, 209 
Atnmonio-sulphate of copper, 745 
Ammoniated guaiac and copaiba, 279 

soap liniment, 702 
Ammonium, bromide of, 220 
Anaesthetic pill, 357 
Angustura decoction, 503 
Anodyne fomentation, 964 

plaster, 400 
Anthelmintic clyster, 311 
Anti-gout pill, 44 
Anti-herpetic ointment, 897 
Antiseptic poultice, 950 
Anti-psoric lotion, 849 
Antimony and calomel, 175 

and colocynth pills, 47 

Dover's powder, and calomel, 187 
Antimonial powder, James', 149 
Tyson's, 148 

wine and spirit of nitre, 163 
and tolu, 167 

and acetate of ammonia, 160 
spirit of nitre and laudanum, 
164 
Antidyspeptic pills, Chapman's, 54 
Aperient pill, Mitchell's, 49 
Apple water, 975 
Arnica mixture, 336 
Aromatic powder, and oxide of silver, 
586 

syrup of galls, 626 

wine, 870 
Arrowroot, 993 
Arsenic, caustic ointment of, 665 

and iron, 522, 528 

iodide of, and conium, 542 
' and iodine, 566, 569 

morphia, and cascarilla, 568 

nux vomica, and iron, 491 

and opium, 443 

and perchloride of iron, 571 
Arsenical inhalation, 254 

powder, caustic, 667 

paste for dentists, 6G6 
Arsenious acid and pepper, 541 
Arsenite of potassa and opium, 459 
Arseniate of soda, 570 
Asclepias, infusion of, 173 
Asiatic pills, 541 
Assafoetida and acetate of ammonia, 227 

and ammonia, 331 

camphor, etc., 360 

and castor, 413 

enema, 418 

magnesia, and laudanum, 381 

mixture, 223 

and soap pills, 407 

syrup of, 199, 200 



Assafoetida — 

valerian, and castor, 415 
Atomized fluids for inhalation, 259 
Atropia and tannin collyrium, 726 

solution, 392, 393, 399 

and nitrate of silver collyrium, 740 
Ayer's cherry pectoral, 216 



BALSAM of Peru mixture, 229 
Barium, chloride of, and iron, 179 
Barley water, 971 
Bates' alum water, 744 

camphorated water, 731 
Baume de vie, 516 
Becquerel's anti-gout pill, 45 
Beeberine, sulphate of, 446 
Beef tea, 1000 

Liebig's, 1001 

Marcet's, 1003 
Beef, preparation of raw, 1005 
Belladonna and bitter almond liniment, 
403 

solution, 373 

cannabis, etc., 356 

mixture, external use, 391 

ointment, 901 

and tolu, 234 

lobelia, and squill, 222 
Benzoic acid and juniper, 119 

acid mixture, 120 

and lead ointment, 916 
Benzoated lard, 871 
Benzinated lard, 871 
Bestucheffe's tincture and valerian, 529 
Bibron's antidote, 563 
Bismuth and creasote mixture, 25 

and cubebs, 340 

and calomel pills, 15 

elixir of, 519 

and iron, 467 

lotion, 865 

and magnesia, 590 

mixture of, 520 

opium, and calomel, 591 

powders, 466, 592, 593 

and strychnia, 492 

and strychnia pills, 17 
Bitter almond solution, 384 
Blackberry syrup, aromatic, 612 
Black wash, 830 

draught, 78 
Blanc mange, 1009 
Blake's toothache solution, 794 
Blistering ointment, 676 
Blistering plaster, 675 
Blister tissue, 672 
Bloodroot and wild cherry, 216 

and naphtha, 224 



INDEX OF THE FORMULARY PROPER. 



351 



Blue mass, 426 

squill, and digitalis, 104 

and taraxacum, 101 

jalap, and aloes, 39 

rhubarb, and soda, 40 
Boiled flour food, 996 
Boneset, infusion of, 172 
Borax and glycerin, 856 

and honey wash, 792 

and opium collyrium, 722 

and morphia lotion, 868 

and myrrh gargle, 791 

savin, and ginger, 264 
Bran tea, 978 

and flaxseed poultice, 943 
Brandy and chloroform, 20 

gargle, 788 

mixture, 1016 
Bread and milk poultice, 942 
Bretonneau's iron pill, 477 
British oil, 844 
Bromide of ammonium, 220 

of potassium ointment, 906 

of potassium, 564, 565 

and iodide of potassium, 567 
Bromine and bromide of potassium, 565 

solution, 562 
Buchu and acetate of potassa, 125 

and uva ursi, 126 

and iodide of potassium, 180 
Burdock decoction, 176 
Butternut and jalap pills-, 46 



CADMIUM, sulphate of, 753 
sulphate, collyrium, 720 

Cajeput and valerian, 322 
and camphor, 742 

Calabar bean, 394 

Calomel, opium, and quinia, 536 
opium, and nitre, 183 
and opium collyrium, 710 
opium, and ipecac, 152 
opium, ipecac, and nitre, 151 
bismuth, and opium, 591 
and sulphuret of antimony, 153 
and gamboge, 286 
Venice turpentine, etc., 296 
and conium, 358 
camphor, and opium, 425 
and pinkroot, 287 
jalap, and rhubarb, 29 
and carbonate of soda, 154 
powders, 419 
and oxgall, 545 
squill, and tartar emetic, 190 
and jalap powder, 26 
and ipecacuanhae, 7 
and rhubarb powder, 27 



Calomel — 

and bismuth pills, 15 

and colocynth pills, 41 

and squill, 97 

squill, and ammoniac, 189 

and morphia powder, 16 

nitre, and tartar emetic, 150 

acetate of lead, and ipecac, 588 

and sugar of lead, 587, 594 

and soda powder, 28 

powders, 535 

antimony, and Dover's powder, 
187 

digitalis, and opium, 99 

and verdigris powder, 937 

and antimony, 175 

injection, 773 

and alum ointment, 902 

and Goulard's cerate, 908 

and sulphate of zinc ointment, 903 

and tar ointment, 923 
Calcined magnesia, 31 
Calves' feet jelly, 1007 
Camphor and opium collyrium, 728 

and opium, 354 

Dover's powder and nitre, 147 

mixture, 274, 324 

mixture, Parrish's, 605 

mixture, Hope's, 606 

and myrrh, 326 

water and acetate of ammonia, 
732 

and ether, 328 

julep of, 325 

and musk, 409 

carbonate of ammonia and amber, 
839 

and chloroform liniment, 404 

assafcetida, etc., 360 

and Hoffman's anodyne, 368 

and olive oil enema, 310 

and cantharides liniment, 838 

and origanum liniment, 855 

cantharides, and opium, 312 

and poppies, 736 

and chloroform, 327 

and cajeput oil, 742 

and lead, 821, 822 

and opium plaster, 401 

camphorated oil, 836 

and acetic acid liniment, 840 

and petroleum liniment, 854 

and glycerine liniment, 859 

and mercurial ointment, 688, 894 
Camplin's diabetic bread, 988 
Canella and aloes, 281 

aloes, and scrpentaria, 260 
Canna starch, 994 
Cannabis, belladonna, etc., 356 



352 



INDEX OF THE FORMULARY PROPER. 



Cannabis — 

tincture, 383 
Canquoin's caustic paste, 660 
Cantharides and camphor, 838 

camphor, and opium, 312 

and spirits of nitre, 117 

myrrh, and hellebore, 277 

and savin, 262 

ammonia, and gentian, 276 

extract of, 681 

liniment, 697 

compound liniment, 698 
Cantharidal collodion, 680 

ether, 679 
Cantharidine, 678 

and castor oil, 860 
Capsicum, iron, etc., 479 

concentrated tincture, 695 

and gentian, 314 

and salt, 338 

gargle, 806 
Carbolic acid and carron oil, 816 

and castor oil ointment, 925 

and cubebs inhalation, 258 

and mercury ointment, 911 
Carbonate of ammonia ointment, 920 
Carminative for infants, 382 
Carrageen blanc manage, 991 
Carron oil, 817 

aconite, etc., 815 

and carbolic acid, 816 
Cascarilla, morphia, and arsenic, 568 

sage, and boneset, 493 
Castanello's powders, 986 
Castor, ammoniac, etc., 240 

and assafoetida, 413 

iron, and aloes, 280 

and succinic acid, 408 

valerian, and assafoetida, 415 
Castor oil mixture, 62, 63 

and turpentine mixture, 65 

molasses, and salt enema, 85 

and quinia hair-wash, 861 

and carbolic acid ointment, 925 

and cantharidine lotion, 860 
Cathartic pills, Griffitts's, 38 
Catechu, 750 

and alum pessary, 786 

alum, and opium, 596 

and laudanum, 615 

and logwood, 611 
Caustic collodion, 661 

of Filhos, 656 

potassa, 652 
Cerium, oxalate of, pills, 18 

iron, and nux vomica, 19 
Chalk mixture, 607 

compound, 639 

and opium, 632 



Chamomile and orange-peel, 499 
Chapman's anti-dyspeptic pill, 54 

peristaltic persuaders, 53 
Charcoal, magnesia, and ginger, 637 

and creasote ointment, 924 

poultice, 946 
Chaussier's liquor anti-syphilitique, 428 
Chenopodium mixture, 303, 304 

and rhubarb, 302 
Chicken broth, 1011 

water, 1010 
Chinoidine, 439 
Chloride of zinc lotion, 823 
Chlorate of potassa and pomegranate 
gargle, 797 

injection, 771 
Chlorine inhalation, 257 

fumigation, 970 

injection, 783 

liniment, 832 
Chloric ether mixture, 374 
Chlorinated lime mixture, 337 
Chlorodyne, 376, 377 
Chloroform and aconite liniment, 406 

emulsion, 380 

and camphor, 327 

and soda, 23 

and brandy, 20 

and sulphate of soda, 621 

and cardamom, 379 

mixture, 375, 378 

ointment, 915 

and soap liniment, 405 

and cyanide of potassium ointment, 
900 

liniment, compound, 853 
Cholera mixture, 608 

Jackson's, 609 
Chromic acid, 670 
Cider mixture, 112 
Cimicifuga, 417 
Cinchona mixture, 448 

decoction, 447 

elixir of, 517 

cloves and cream of tartar, 432 

and citrate of potassa, 457 

bark, 431 

uva ursi, and opium, 133 

valerian, etc., 515 

ferrated elixir of, 518 

and valerian, 505 

and iron, 488 

serpentaria and soda, 433 

and sulphate of copper, 444 

and cardamom, 458 

and muriatic acid gargle, 799 
Cinchonia and iron, 456 

sulphate of, 440 
Cinnabar and serpentaria, 174 



INDEX OF THE FORMULARY PROPER. 



353 



Citrate— 

of magnesia solution, 75 

of potassa and cinchona, 457 
solution, 158 
Citrine ointment and tar, 909 
Cloves and amber liniment, 817 

iron and aloes, 269 
Clove plaster, 687 
Coal-tar ointment, 910 
Cochineal and common salt, 289 

mixture, 221 
Cod-liver oil, 574, 575, 576 

and iodine, 578 

and quinia, 577 
Colchicum and aconite, 169 

and cream of tartar, 96 

and digitalis, 122 

digitalis and colocynth pill, 48 
and quinia pill, 45 

and elaterium, 121 

Epsom salt and magnesia, 72 

and laudanum, 83 

and magnesia mixture, 71 

morphia and colocynth pill, 44 
Collodion of iodine, 877 
Colocynth and antimony pills, 47 

and croton-oil pills, 52 

digitalis and colchicum pill, 48 

and calomel pills, 41 

morphia and colchicum pill, 44 

and opium, 353 

and podophyllin pill, 42 
Columbo and ginger, 494 

ginger, and iron, 462 

and magnesia, 636 

and phosphoric acid, 143 

rhubarb, etc., 495 

salt of tartar, etc., 646 
Compound anodyne pill, 356 
Conium and calomel, 358 

and iodide of arsenic, 542 

and Dover's powder, 185 

squill, and ammoniac, 188 

and lactucarium, 350 

paregoric and tolu, 211 

and iodine inhalation, 249 

suppository, 390 
Conia collyrium, 738 
Conradi's collyrium, 730 
Copaiba and ammoniated tincture 
guaiac, 279 

and bicarbonate of soda, 137 

compound mixture of, 130 

cubebs, etc., 128, 129 

and cubeb pills, 100 

and tolu, 228 

mixture, 127 

compound mixture of, 131 

injection, 777 

23 



of 



Copper, ammoniated, 778 
pills of, 470 

sulphate of, wash, 811 
injection, 774 
collyrium, 721 

lead, and copal ointment, 932 
Copal, lead, and copper ointment, 932 
Cornmeal gruel, 983 
Corrosive sublimate, 420 

and conium, 422 
Cowhage, electuary of, 301 

ointment, 707 
Cream, eggs, and beef, 1004 
Cream of tartar and juniper berries, 106 

and colchicum, 96 

and sulphur, powdered, 34 

and jalap powder, 32 

tartar emetic and squill, 95 

and lenitive electuary, 59 

nitre and tartar emetic, 92 
Creasote and charcoal ointment, 924 

pills of, 315 

and opium, 598, 599 

and bismuth mixture, 25 

mixture, 616, 617, 618 

injection, 752, 782 

liniment, 834, 835 
Croton oil pills, 51 

and colocynth pills, 52 

and potassa, 706 

mixture, 66 

saponaceous, 67 

and oil of amber liniment, 700 

liniment, 699 
Cubebs and bismuth, 340 

and carbolic acid inhalation, 258 

and copaiba pills, 100 

copaiba, etc., 128, 129 

and ergot, 94 

and soda, 339 

mixture of, 132 
Currant-jelly water, 976 
Cyanide of potassium, 238 

lotion, 831 

and chloroform ointment, 900 



DENTAL anesthetic, 396 
Depilatory ointment, 928 

powder, 940 
De Valangin's solution and iron, 571 
Dewees' tincture of guaiac, 278 

carminative, 381 
Diabetic bread, 988 
Digitalin, 102 
Digitalis, acetate of potassa, etc., 116 

calomel and opium, 99 

colchicum and colocynth pill, 48 

and colchicum, 122 



354: 



INDEX OF THE FORMULARY PROPER. 



Digitalis — 

myrrh and iron, 268 
and opium, 355 
podophyllin and iron, 98 
quinia and colchicum pill, 45 
squill and blue mass, 104 

and juniper, 103 
and spirits of nitre, 105 
Discutient plaster, 936 
Disinfecting mouth wash, 805 
Diuretic wine, 114 

drops, 113 
Dogwood decoction, 504 
Donovan's solution, 561 
Dover's powder, antimony, and calomel, 
187 
and aconite, 361 
and conium, 185 
camphor and nitre, 147 
Draught, effervescing, 159 
Dulcamara and poppy fomentation, 965 
Dupuytren's antisyphilitic pill, 421. 

antipsoric liniment, 849 
Dyspeptic lye, 649 



EGGS, cream, and beef, 1004 
Egg-nogg, 344 
Elaterin, tincture of, 84 
Elaterium and colchicum, 121 

pills, 50 
Elixir of bismuth, 519 

of cinchona, ferrated, 518 

of cinchona, 517 
Elm poultice, 947 
Emetia, lozenges of, 2 

mixture, 12 
Emmenagogue suppository, 282 
Emollient glycerin bath, 956 

poultice, 948, 949 

collyrium, 735 
Enema of castor oil, molasses, and salt. 
85 

of oil of turpentine, 88 

of ox gall, 87 

of senna and Epsom salt, 89 

of soap, 86 

of tobacco, 90 
Epsom salt and tartar emetic mixture. 
68 

magnesia, and colchicum, 72 

and senna, 78 

jalap, and nitric acid mixture, 69 
Ergotine mixture, 275 
Ergot and cinnamon, 613 

and cubebs, 94 

and savin, 263 
Erigeron, oil of, 272 
Essence of beef, 1002 



Ether and camphor, 328 

and turpentine, 144 
Eupatorium, sage, and cascarilla, 493 

infusion of, 172 



FALK'S antacrid mixture, 584 
Fennel seed and magnesia, 634 
Fei'rocyanide of iron and guaiac, 434 
Firing, 651 

Flaxseed and bran poultice, 943 
Flaxseed and sage gargle, 787 

tea, 235, 973 
Fothergill's pills, 47 



GALLS, aromatic syrup of, 626 
decoction of, 610 

syrup of, and hydrochloric acid, 
627 
Gallic acid and morphia, 625 

and opium, 724 

pills, 603 
Gamboge and jalap powder, 33 

and calomel, 286 
Garlic cataplasm, 683 

and tolu, 202 
Gelatine jelly, 1008 
Gelsemium, 168 
Gentian and aloes pill, 55 

aloes, zedoary, etc., 516 

and carbonate of magnesia, 139 

cantharides, and ammonia, 276 

and capsicum, 314 

compound infusion, 501 

and iron, 484 

and orange-peel, 514 

and soda, 647 

and tar, 191 
Geranium mixture, 614 
Ginger and ammonia, 320 

columbo, and iron, 462 

and Colombo, 494 

soda, and magnesia, 635 

savin, and borax, 264 

rhubarb, and senna, 77 
Glycerin, ammonia, etc., 857 

and borax, 856 

and camphor liniment, 859 

cream, 858 

lotion, 862 

and tannic acid lotion, 866 

and morphia lotion, 863 

and lead-water lotion, 864 

morphia, and iodide of iron, 244 

ointment, 873 
Gondret's pommade ammoniacale, 693 
Gossypium, decoction, 273 
Granville's antidynous lotions, 692 



INDEX OF THE FORMULARY PROPER 



355 



Griffitts's cathartic pills, 38 
Griffith's myrrh mixture, 507 
Guaiac, aloes, and rhubarb. 56 

compound powder of, 155 

nitre, etc., 165 

and soda, 278 

and turpentine, 313 

and paregoric, 329 
Gum and molasses mixture, 818 
Guthrie's ointment, 739 



HARROWGATE bath, artificial, 961 
water, artificial, 583 
Hartshorn liniment, 701 

jelly, 1006 
Hellebore, myrrh, and cantharides, 277 
Hemp, Indian, decoction, 109 
Hoffman's anodyne and laudanum, 414 
Honey and borax wash, 792 

sage, and alum gargle, 812 

and sulphuric acid gargle, 810 
Hooper's pills, 266 
Hope's camphor mixture, 606 
Hops, infusion, 500 

and iodine inhalation, 251 

and potassa, 135 

and tar, 246 
Hydrochlorate of ammonia and mer- 
cury, ointment, 888 
Hydrochloric acid and cinchona gargle, 
799 

and syrup of galls, 627 

and iron, 141 

gargle, 813 

mixture, 142 
Hydrangea arborescens, 138 
Hydrarg. cum creta, iron, and ipecac, 

464 
Hydrastis, injection, 775 
Hydrocyanic acid and morphia, 21 

and potassa lotion, 824 

and wild cherry, 201 

squill, and morphia, 207 
Hyoscyamus and opium, 352 

squill, and myrrh, 192 

and ipecac, 351 
Hyposulphite of soda, 582 

douche, 756 
Hypophosphites of lime, soda, etc., 245 



ICELAND moss, 236 
jelly, 992 
Ignatia, aloes, and opium, 472 
Instantaneous vesicant, 677 
Iodide of arsenic, ointment, 885 
of barium, oiutment, 881 
of bromide of potassium, 567 



Iodide — 

of cadmium, ointment, 882 

of iron, 552 

of iron, ointment, 883 

of mercury, enema, 311 

of mercury and potassa, 556, 557 

of mercury, pills, 423, 424 

of potassium and buchu, 180 

of potassium, liniment, 283 

of potassium and manganese, 483 

of potassium, mixture, 555 

of potassium, ointment, 878 

of potassium and opium, liniment, 
284 

of potassium and sarsaparilla, 550 

of sulphur, ointment, 884 
Iodine and arsenic, 566, 569 

and collodion, 877 

and conium inhalation, 249 

caustic glycerole of, 668 

and calomel ointment, 886 

and cod-liver oil, 578 

ethereal solution, 705 

ethereal tincture of, 549 

and hops inhalation, 251 

inhalation, 250 

and iodide of potassium collyrium, 
713 

liniment, 833 

mercury, and sulphur fumigation, 
968 

ointment, 876 

and opium ointment, 892 

and opium gargle, 808 

paint, 704 

poultice, 953 

preparations, 548 

tincture of, mixture of, 551 

and tannin, collodion of, 285 

waters, 559, 560 
Ioduretted baths, 960 

biniodide of mercury, 558 
Ipecac and almond, 212 

calomel, and sugar of lead, 588 

iron, and mercury, 464 

and hyoscyamus, 351 

and myrrh, 182 

mercury, and chalk, 429 

ointment, 922 

opium, and calomel, 152 
calomel, and nitre. 151 

and rhubarb powder, 938 

soda, etc., 219 

squill, and paregoric, 197 

veratrura, and spirits of nitre, 198 

wine of, and morphia, 156 

and calomel, 7 

powder, 1 

syrup aud wine, 14 



356 



INDEX OF THE FOR3IULAEY PEOPEE 



Ipecac — 

and tartar emetic, powder of, 3 
tartar emetic, and squill, 13 
aud tartar emetic, wine of, 9 
and sulphate of zinc, 6 
Iron, aloes, and cloves, 269 

and castor, 280 

and podopkyllin, 478 
and bismuth, 467 
ammoniated, pills of, 473 
ammonio-citrate, 524 
ammonio-tartrate, 509 
arseniate of, 540 
bromide of, 544 
Colombo, and ginger, 462 
capsicum, etc., 479 
and cinchona, 456 
carbonate of, mass, 468 

and quinia, 476 
and chloride of barium, 179 
digitalis, and podophyllin, 98 
and elixir of vitriol, 510 
and gentian, 484 
and hydrochloric acid, 141 
iodide of, 552 

injection, 769 

and manganese, 532 
by hydrogen, 463 
ipecac, and mercury, 464 
jalap, and aloes, 266 
lactate of, 469 
lozenges, 295 
myrrh, and digitalis, 268 
and myrrh, 265 
nux vomica, and cerium, 19 
pill, Bretonneau's, 477 
perchloride of. 622 

and arsenic, 571 

douche, 758 
' and nitric acid, 526 
potassio-tartrate, 527 
pernitrate of, 530 
podophyllin and santonin, 291 
protoxide of, 508 
pyrophosphate of, 531 
and quassia, 485 
and quinia, citrate of, 474 
quinia, and strychnia, syrup of, 

533 
and strychnia, 270, 471 
subsulphate of, injection, 767 
sulphate of, collyrium, 714 

injection, 768 

lotion, 867 

and quinia, 475 
tincture of chloride, 523 

and acetic acid, 525 
Itch liniment, 815 



JACKSON'S lozenges, 195 
pectoral syrup, 203, 204 
Jalap, aloes, and blue pill, 39 

and butternut pills, 46 

and calomel powder, 26 

calomel, and rhubarb, 29 

and cream of tartar powder, 32 

and gamboge powder, 33 

iron, and aloes, 266 

nitre, etc. electuary, 61 
James' powder, 149 
Juniper berries and cream of tartar, 

106 
Juniper, squill, etc., 115 

squill, and digitalis, 103 



KAMEELA, 294 
Kentish's ointment, 905 
Kino and opium, 600 
Kirkland's neutral cerate, 917 
Kousso, infusion of, 299 



LACTUCARIUM and hemlock, 350 
syrup of, 205 
Lafayette mixture, 131 
Lapis divinus, 711 
Lartigue's gout pill, 48 
Laudanum, 362 

antimonial wine, and spirit of nitre, 

164 
assafcetida, and magnesia, 381 
and catechu, 615 
and colchicum, 83 
enema, 385 

and Hoffman's anodyne, 414 
and sulphate of zinc, 762 
and tartar emetic, 218 
and turpentine, 366 
Lead, acetate of, 629 

and calomel, 587, 594 
calomel, and ipecac, 588 
gargle, 803 
enema, 630 
and opium, 595 
and sulphate of zinc, 763 
and benzoic acid ointment, 916 
and calomel ointment, 907 
and camphor, 821, 822 
copper, and copal ointment, 932 
and opium liniment, 852 
and rose water, 743 
subacetate of, and opium collyrium, 

715 
water and glycerin lotion, 864 
Lemonade, 981 

Lenitive electuary and cream of tartar, 
59 



INDEX OF THE FORMULARY PROPER. 



357 



Liebig's beef-tea, 1001 
Lime, chloride of, gargle, 804 

syrup of, 643 

and zinc ointment, 927 

water and linseed oil, 815 
and milk, 642 
and sulphuret of potassium, 

826 
and zinc lotion, 814 
Linimentum album, 837 

crinale, 860 
Linseed oil and lime water, 815 
Liquid deodorant, 820 
Lithia, carbonate of, injection, 146 
Lobelia, squill, and belladonna, 222 

and prussic acid, 239 
Lobstein's phosphorated ether, 333 
Logwood and catechu, 611 
Lugol's solutions, 553 

rubefacient solution, 703 
Lunar caustic, 657 
Lupulin pills, 348 

mixture, 367 



MAGNESIA, ammonia, etc., 645 
assafoetida, and laudanum, 38 

and bismuth, 590 

calcined, 31 

carbonate and gentian, 139 

charcoal, and ginger, 637 

citrate of, solution, 75 

and Colombo, 636 

and colchicum mixture, 71 

Epsom salt, and colchicum, 72 

and fennel seed, 634 

and rhubarb mixture, 70 

and rhubarb powder, 30 

soda, and ginger, 635 

and sulphur, 35 

water, 644 
Magendie's iodine solution, 554 
Maizena, 995 
Male fern, mixture, 306 

powder, 293 
Malt infusion, 980 
Manganese, iodide of, and iron, 532 

and iodide of potassium, 483 
Manna and senna, 79 

senna, and rhubarb, 81 
Marcet's beef tea, 1003 
Mastich and pellitory, 430 
Matico, 604 

Meigs' food for infants, 997 
Mel iEgyptiacum, 807 
Mercurial cerate, 899 

ointment and camphor, 688 

gargle, 801 

inhalation, 255 



Mercurial — 

pill, quinia, and aloes, 537 
vapor bath, 969 
Mercury, ammoniated, and sulphur, 
ointment, 895 
acid nitrate, caustic, 664 
bichloride of, 539 
collyrium, 727 
bath, 958 
caustic of, 662 

and tartar emetic, lotion, 691 
injection, 761 
lotion, 828 
mixture, 579 
and opium, 734 
and camphor ointment, 894 
and carbolic acid ointment, 911 
chalk, and ipecac, 429 
cyanide of, 428 

ointment, 893 
iodide of, and potassa, 556, 557 
ioduretted biniodide of, 558 
and muriate of ammonia ointment, 

887 
oxide of, and sulphate of zinc, oint- 
ment, 741 
guaiacum, and turpentine, 584 
red iodide of, 538 
red oxide of, 427 
red iodide of, ointment, 889, 890, 

891 
red oxide, ointment, 875 

and oxide of zinc, collyrium, 
709 
sulphur and iodine fumigation, 968 
Mettauer's aperient, 82 
Mezereon decoction, 177 
Milk punch, 345 
Mitchell's aperient pill, 49 

tonic pills, 480 
Molasses and gum mixture, 818 
Monsel's solution, 623 
Monsel solution injection, 767 
Morphia, arsenic, and cascarilla, 568 
and borax lotion, 868 
and calomel powder, 16 
camphor, etc., 357 
colocynth and colchicum pill, 44 
and gallic acid, 625 
glycerine and iodide of iron, 244 
and glycerin lotion, 863 
and hydrocyanic acid, 21 
and naphtha, 225 
and prussic acid, 21 
and quinia enema, 460 
spirit of nitre, etc., 162 
squill and prussic acid, 207 
and sulphuric acid, 22 
sulphate of, pills, 349 



358 



INDEX OF THE FORMULARY PROPER. 



Morphia, sulphate of, — 
solution, 364 
syrup, 365 

squills and tolu, 242 

suppository, 389 

and tannic acid, 602 

tolu and tartar emetic, 243 

turpentine, etc., 241 

•wild cherry, etc., 217 

and wine of ipecac, 156 

and veratria ointment, 930 
Moxa, 671 

Mucilage of gum arabic, 977 
Muriate of ammonia and acetic acid 

gargle, 802 
Muriatic acid mixture, 142 
Mush poultice, 944 
Musk and camphor, 409 

mixture, 411 
Mustard fomentation, 966 

injection, 784 

pepper and ginger cataplasm, 685 

plaster, 682 

powder of, 5 

whey, 341 
Mutton broth, 999 
Myrrh and borax gargle, 791 

and camphor, 326 

cantharides and hellebore, 277 

and ipecac, 182 

and iron, 265 

iron and digitalis, 268 

squill and henbane, 192 

and sulphate of zinc, 184 



XT APHTHA and bloodroot, 224 
j\ and morphia, 225 
Naphthaline mixture, 214 

ointment, 919 
Neutral mixture, 157 
Nitrate of silver collyrium, 719 

and atropia collyrium, 740 

mixture, 521, 619 

solution, 746, 747, 759 

ointment, 931 

pills, 481, 482 
Nitre, calomel, and opium, 183 
opium, and ipecac, 151 

cream of tartar, and tartar emetic, 
92 

Dover's powder, and camphor, 147 

jalap, etc., electuary, 61 

spirit of, and morphia, etc., 162 

guaiacum, etc., 165 

senna, and sulphur electuary, 60 

and squill powders, 91 

tartar emetic, and calomel, 150 
Nitric acid, 581 



Nitric acid — 

and ammoniac, 232 

mixture, 416 
Nitric and sulphuric acids, 512, 
Nitro-muriatic acid, mixture, 140, 580 

bath, 957 
Nitro-hydrochloric acid mixture, 1 40 
Nitrous powders, 150 
Nux vomica, 359 

cerium and iron, 19 

iron, and arsenic, 491 

liniment, 848 



OAK BARK and alum gargle, 789 
Oatmeal gruel, 982 
Odontalgic lotion, 794 
Oil of cade ointment, 914 
Oil of juniper mixture, 113 
Oleo-saccharoles, 346 
Oleaginous mixture, 62, 63 
Olive oil and camphor enema, 310 
Olive ointment, 912 
Onion poultice, 684 
Opiate liniment compound, 850, 851 
Opium and acetate of ammonia, 733 

aloes, and ignatia, 472 

and alum, 589 

alum, and catechu, 596 

and arsenic, 443 

and arsenite of potassa, 459 

and belladonna plaster, 402 

and bichloride of mercury, 734 

bismuth, and calomel, 591 

calomel, and nitre, 183 
and quinia, 536 
and ipecac, 152 

and calomel collyrium, 710 

and camphor, 354 
collyrium, 728 
plaster, 401 

and chalk, 632 

and colocynth, 353 

and creasote, 598, 599 

and digitalis, 355 

digitalis and calomel, 99 

and gallic acid, 724 

and hyoscyamus, 352 

and iodide of potassium liniment, 
284 

injection, 760 

and iodine ointment, 892 

ipecac, calomel, and nitre, 151 

and kino, 600 

lime-water, etc., 395 

and lead liniment, 852 

and phosphoric acid, 267 

pills, 347 

preparation of, 363 



INDEX OF THE FORMULARY PROPER. 



359 



Opium — 

quinia and pepper, 436 

and rhatany suppository, 388 

suppository, 386, 387 

and subacetate of lead collyrium, 

715 
and sugar of lead, 595 
and sulphate of copper, 445 
and sulphate of soda, 620 
and tannic acid, 601 
and tartar emetic, 186 
and tannic acid ointment, 935 
and tar ointment, 913 
uva ursi, and cinchona, 133 
wine of, collyrium, 737 

Origanum and camphor liniment, 855 

Oxalate of cerium pills, 18 

Oxide of silver and aromatic powder, 586 

Ox-gall and calomel, 545 
enema, 87 
pills, 58 



PANADO, 985 
Paregoric and guaiacum, 329 
Paregoric, ipecac, and squill, 197 

squill, and ammonise, 226 

tolu, and conium, 211 
Pareira brava decoction, 110 
Parrish's camphor mixture, 605 
Parsley infusion, 107 
Pea issue, 673 
Pearson's solution, 570 
Pellitory and mastich, 430 
Pepsin and aloes, 490 
Pepsine, elixir of, 534 
Peristaltic persuaders, Chapman, 53 
Permanganate of potassa, douche, 754 

injection, 772 

lotion, 819 

and iodide of zinc douche, 755 
Petroleum and camphor liniment, 854 
Phosphorated ether, Lobstein's, 333 

oil, 334 
Phosphoric acid and columbo, 143 
Phosphorus, glycerole of, 335 
Phosphoric acid lotion, 827 

and opium, 267 
Phosphorus emulsion, 332 
Plasma, 872 

Pleurisy root, infusion of, 173 
Plummer's pill, 175 
Podophyllin, aloes, and iron, 478 

and alum pill, 43 

and colocynth pill, 42 

digitalis, and iron, 98 

santonin, and iron, 291 
Pomegranate and alum gargle, 796 

and chlorate of potassa gargle, 797 



Pomegranate — 

decoction of, 298 
Poppy and bittersweet fomentation, 965 
Poppies and camphor, 736 
Potassa in milk, 111 

carbonate, mixture, 640 

caustic, solution, 694 

citrate of, solution, 158 
and squill, 123 

and croton-oil liniment, 706 

cum calce, 653 

and hydrocyanic acid lotion, 824 

nitrate of, mixture, 166 

permanganate, injection, 781 

and tincture of hops, 135 
Powders, Seidlitz, 36 
Propylamin, 369, 370, 371 
Prunes and senna, 80 
Prussic acid, 237 

collyrium, 723 

and lobelia, 239 

and morphia, 21 

squill, and morphia, 207 

and wild cherry, 201 
Pumpkin seeds, emulsion, 308 
Pyroligneous acid, 749 

ether, and turpentine, 751 
Pyroxylic spirit, 24 



QUxASSIA and bicarbonate of soda, 
136 

infusion, 498 

and iron, 485 
Quinia and ammonia, 438 

blue pill, and aloes, 537 

calomel, and opium, 536 

castor oil, etc., hair-wash, 861 

and cod-liver oil, 577 

digitalis, and colchicum pill, 45 

ferrocyanate, 453 

and iron, citrate of, 474 

iron, and strychnia, syrup of, 533 

opium, and pepper, 436 

and morphia enema, 460 

sulphate of, 435 

sulphate of, gargle, 790 

sulphate of, injection, 770 

sulphate of, solution, 449, 450 

and tartar emetic, 437 

and tartaric acid, 454 

and sulphate of iron, 475 

solution for hypodermic injection, 
461 

valerianate of, 316 

and Vallet's mass, 476 
Quinidia, sulphate of, 441 

and tannic acid, 455 
Quince seed, decoction, 729 



860 



INDEX OF THE FORMULARY PROPER 



EACAHOUT des Arabes, 987 
Raw beef preparation, 1005 

Rennet whey, 1015 

Resolvent poultice, 951 

Rhatany gargle, 798 
mixture, 628 

and opium suppository, 388 
and rhubarb, 597 

Rhubarb, aloes, and guaiac, 56 
blue pill, and soda, 40 
calomel, and jalap, 29 
and calomel powder, 27 
columbo, etc., 495 
and crabs' claws, 633 
and ipecac powder, 938 
and magnesia mixture, 70 
and magnesia powder, 30 
senna, and manna, 81 
and rhatany, 597 
senna, and ginger, 77 
soda, etc., 638 
and sulphate of iron, 57 
and wormseecl, 302 

Rice flour gruel, 984 
water, 972 

Ricord's pills, 424 

Rose water and lead, 743 

Rosin inhalation, 253 



SAGE, boneset, and cascarilla, 493 
and flaxseed gargle, 787 

honey, and alum gargle, 812 

tea, 979 
Sago, 989 
Sal-ammoniac mixture, 572 

squill, etc., 213 
Salep powders compound, 986 
Salicine powders, 442 
Saline powders, Stevens', 37 
Salt and capsicum, 338 

and cochineal, 289 

poultice, 952 

of tartar and ammonia, 641 

of tartar, columbo, etc., 646 

of tartar mixture, 640 
Sanguinarina powder, 941 
Santonin lozenges, 292 

podophyllin, and iron, 291 

powders, 290 

spigelia, and senna, 305 
Saponaceous fomentation, 963 
Sarsaparilla decoction, 178 

beer, 181 
Savin, borax, and ginger, 264 

and cantharides, 262 

and ergot, 263 

senna, and pinkroot, 288 



Savin — 

and sulphate of potassa, 261 

and verdigris powder, 939 
Scudamore's iodine inhalation, 250 

mixture, 72 
Sedative lotion, 398 
Seidlitz powders, 36 
Senega, ammoniac, and tolu, 209 

decoction of, 271 

squill, and ipecac, 196 

squill, and tartar emetic, 208 
Senna and Epsom salt, 78 

ginger, and rhubarb, 77 

and manna, 79 

pinkroot, etc., 297 

and prunes, 80 

rhubarb, and manna, 81 

savine, and pinkroot, 288 

spigelia, and santonin, 305 

sulphur, and nitre, electuary, 60 
Serpentaria, aloes, and canella, 260 

and cinnabar, 174 

infusion, 497 
Seton, 674 
Silver, iodide of, 543 

nitrate of, 619 

pills, 481, 482 

solution, 746, 747, 759 

mixture, 521 

ointment, 931 

and atropia, collyrium, 740 

oxide of, 489 

oxide of, ointment, 926 
Sinapism, 682 
Soap and carbonate of soda, 134 

liniment, sulphuretted, 846 
Soda, bicarbonate of, and copaiba, 137 

bicarbonate of, and quassia, 136 

carbonate of, and calomel, 154 

carbonate of, injection, 145 

carbonate of, and soap, 134 

and calomel powder, 28 

and chloroform, 23 

and cubebs, 339 

ipecac, etc., 219 

and gentian, 647 

mint, 648 

magnesia, and ginger, 635 

rhubarb, etc., 638 

rhubarb, and blue pill, 40 

taraxacum, etc., 108 

and uva ursi, 93 

water, purgative, 76 
Solutio vitriolica, Moseley's, 11 
Spermaceti mixture, 233 

ointment, 874 
Spice plaster, 686 

Spirit of mindererus and antimonial 
wine, 160 



INDEX OF THE FORMULARY PROPER, 



361 



Spirit — 

of nitre and acetate of ammonia, 
161 

of nitre and antimonial wine, 163 

of nitre, antimonial wine, and lau- 
danum, 164 

of nitre and digitalis, 105 

of nitre, ipecac, and veratrum, 
198 

pyroxylic, 24 
Spigelia and calomel, 287 

senna, and santonin, 305 

savin, and senna, 288 

senna, etc., 297 
Spitta's lozenges, 194 
Sponge, burnt, 546 
Squill and ammoniac, 210 

ammoniac, and coniuni, 188 

ammoniac, and paregoric, 228 

and calomel, 97 

calomel, and ammoniac, 189 

and citrate of potassa, 123 

digitalis, and blue mass, 104 

digitalis, and juniper, 103 

ipecac, and paregoric, 197 

juniper, etc., 115 

ipecacuanha, and tartar emetic, 13 

lobelia, and belladonna, 222 

morphia, and prussic acid, 207 

morphia, and tolu, 242 

mixture of, 206 

myrrh, and henbane, 192 

an,d nitre powders, 91 

sal-ammoniac, etc., 213 

senega, and ipecac, 196 

tartar emetic, and cream of tartar, 
95 

tartar emetic, and senega, 208 
Starch mucilage, 1013 
Stevens' saline powders, 37 
Stimulant fomentation, 962 
Stokes' liniment, 837 
Stramonium inhalation, 256 

in milk, 397 
Strychnia and bismuth, 492 

and bismuth pills, 17 

collyrium, 725 

injection, 780 

and iron, 270, 471 

iron, and quinia, syrup of, 533 

mxture, 372 
Succinic acid and castor, 408 
Suet ptisan, 1012 
Sulphate of copper and cinchona, 444 

of copper and opium, 445 

of iron and rhubarb, 57 

of potassa and savin, 261 

of soda ard chloroform, 621 

of soda and opium, 620 



Sulphate — 

of zinc and alum mixture, 11 

of zinc and ipecacuanha, 6 

of zinc and myrrh, 184 
Sulphite of soda, 748 

wash, 869 
Sulphur and cream of tartar powder, 34 

and magnesia, 35 

senna, and nitre, electuary, 60 

mercury, and iodine fumigation, 
968 

ointment, 898 

ointment, aromatic, 918 

ointment, compound, 896 

and white precipitate ointment, 
895 
Sulphureous bath, 954 
Sulphureo-gelatinous bath, 955 
Sulphuret of antimony and calomel, 
153 

of potassium and lime-water, 826 

of potassium lotion, 825 
Sulphuretted soap liniment, 846 
Sulphuric acid, caustic, 663 

gargle, 800 

and honey gargle, 810 

and iron, 510 

mixture, 511 

and morphia, 22 

and nitric acid, 512 
Sumbul and valerian, 412 



T ANNATE of lead ointment, 935 
Tannic acid and quinidia, 455 
Tannic acid and glycerin lotion, 866 

and morphia, 602 

and opium, 601 

pessary, 785 

and opium ointment, 933 

ointment, 934 

suppository, 631 

and atropia collyrium, 726 
Tannin injection, 779 

and iodine, collodion of, 285 
Tapioca jelly, 990 
Tar and calomel ointment, 923 

and citrine ointment, 909 

and gentian, 191 

and hops, 246 

inhalation, 252 

oil of, 231 

and opium ointment, 913 

pills of, 547 

water, 230 
Taraxacum and blue mass, 101 

soda, etc., 108 
Tartar emetic and opium, 186 

nitre, and calomel, 150 



362 



INDEX OF THE FORMULARY PROPER. 



Tartar emetic — 

mixture, 10 

and ipecacuanha, wine of, 9 

and ammonia liniment, 842 

and quinia, 437 

ointment, 690 

and corrosive sublimate lotion, 691 

senega, and squill, 208 

and laudanum, 218 

nitre, and cream of tartar, 92 

morphia, and tolu, 243 

ipecacuanha, and squill, 13 

and ipecacuanha, powder of, 3 

plaster, 689 

squill, and cream of tartar, 95 
Tartaric acid and quinia, 454 
Tartar whey, 1018 
Tea injection, 776 
Tin, electuary of, 300 
Toast water, 974 
Tobacco enema, 90 

fomentation, 967 
Tolu, ammoniac, and senega, 209 

and belladonna, 234 

and copaiba, 228 

conium, and paregoric. 211 

and ether inhalation, 248 

and garlic, 202 

inhalation of, 247 

morphia, and squill, 242 
and tartar emetic, 243 

and oil of amber, 215 

and wine of antimony, 167 
Tonic laxative infusion, 502 
Tous les mois, 994 
Turpentine and ether, 144 

and guaiac, 313 

linctus of, 307 

liniment, 696 

mixture, 64, 323 

morphia, etc., 241 

oil of, 118 
Tyson's antimonial powder, 148 



u 



VA URSI and buchu, 126 
and soda, 93 
cinchona, and opium, 133 



YTALERIAN, assafcetida, and castor, 
V 415 

and Bestucheffe's tincture, 529 

and cinchona, 505 

cinchona, etc., 515 

and cajeput, 322 

and sumbul, 412 

and carbonate of ammonia, 319 
Valerianate of ammonia, elixir of, 321 



Valerianate — 

of quinia, 316 

of zinc pills, 410 
Vegetable soup, 998 
Venice turpentine, calomel, etc., 296 
Veratria, acid solution of, 73 

and morphia ointment, 930 

ointment, 929 
Veratrum and aconite, 171 

ipecac, and spirits of nitre, 198 
Verdigris and calomel powder, 937 

ointment, 921 

and savin powder, 939 
Vienna paste, 653 

with morphia, 655 

with opium, 654 
Vinegar and alcohol collyrium, 716 

draught, 513 

whey, 1017 
Volatile liniment, 701, 841 



WILD CHERRY and bloodroot, 216 
H infusion, 496 

and morphia, 217 

and prussic acid, 201 
Wine and egg mixture, 343 

mulled, 1014 

whey, 342 
Wistar's cough lozenges, 193 
Worm tea, 297 



YEAST mixture, 330 
poultice, 945 
Yellow wash, 829 



yEDOARY, aloes, gentian, etc., 516 
[j Zinc, acetate of, injection, 765 
Zinc, acetate of, collyrium, 717 
chloride of, caustic, 659, 661 

injection, 766 
iodide of, gargle, 809 
lactate of, 487 
and lime ointment, 927 
and lime-water lotion, 814 
oxide of, 486 

ointment, 904 

and red precipitate collyrium, 

709 
and sugar collyrium, 708 
• sulphate of, and acetate of lead, 
763 
and calomel ointment, 903 
etc., gargle, 793 
and laudanum, 762 
and red precipitate ointment, 
741 



INDEX OF DISEASES AND THEIR REMEDIES. 



The figures indicate the number of the Formula. 



ABSCESSES, flaxseed and bran poul- 
tice, 9-13 

indolent, resolvent poultice, 951 
frontal, iodide of zinc and perman- 
ganate of potassa, 755 
Acidity of stomach, crabs' claws and 
rhubarb, 633 
dyspeptic lye, 649 
tonic laxative infusion, 502 
of pregnancy, chloroform and soda, 
23 
Acne, lime and zinc ointment, 927 

sulphite of soda, 869 
Albuminuria of pregnancy, benzoic acid 

mixture, 120 
Alopecia, ammonia, glycerin, etc., 857 
cantharidine and castor oil, 860 
quinia, castor oil, etc., 861 
Amaurosis, phosphorus, 332, 333 

strychnia collyrium, 725 
Amenorrbcea, aloes, canella, and ser- 
pentaria, 260 
aloes, sulphate of iron, and cloves, 

269 
ammonio-citrate of iron, 524 
decoction of senega, 271 
digitalis, myrrh, and iron, 268 
emmenagogue suppository, 282 
guaiacum and copaiba, 279 
hellebore, myrrh, and cantharides, 

277 
hiera picra, 281 
Hooper's pills, 266 
iron, aloes, and castor, 280 
iron and myrrh, 265 
iron and strychnia, 270 
mustard injection, 784 
savin, borax, and ginger, 264 
savin and cantharides, 262 
savin and ergot, 263 
savin and sulphate of potassa, 261 



Anaemia, ammonio-tartrate of iron, 509 

sulphuric acid mixture, 511 

steel wine, 527 

pyrophosphate of iron, 531 

iron and sulphuric acid. 510 

sulphate of iron and quinia, 475 

peracetate of iron, 525 

arsenic, iron, and nux vomica, 491 

Bretonneau's iron pill, 477 

iron and gentian, 484 

iodide of iron and manganese, 532 

lactate of iron, 469 

ferrated elixir of cinchona, 518 

iron reduced, 463 

Vallet's mass, 468 
Aphonia, atomized fluids, 259 
Aphthous stomatitis, borax and honey, 
792 

sulphuric acid and honey, 810 
Arthritis, anodyne plaster, 400 

chronic, anodyne fomentation, 964 
iodide of cadmium, 882 
Ascarides, aloetic enema, 309 

anthelmintic clyster, 311 

enema ofcamphorand sweet oil, 310 
Ascites, digitalis, calomel, and opium, 99 
Asthma, atomized fluids, 259 

lobelia and prussic acid, 239 

opium and digitalis, 355 ' 

squill, ammoniac, and conium, 188 

stramonium inhalation, 256 
Atony, elixir of aloes, zedoary, etc., 516 

elixir of cinchona, 517 

general, syrup of iron, quinia, and 
strychnia, 533 



BALDNESS, see Alopecia. 
Bilious fever, Griffith's pill, 38 
Bilious vomiting, calomel and bismuth, 
15 



364 INDEX OF DISEASES AND THEIR REMEDIES. 



Bladder, irritation of, flaxseed tea, 973 
irritability of, mixture of bicarbon- 
ate of soda, etc., 137 
potassa in milk, 111 
Bronchial irritation, tar water, 230 
conium and Dover's powder, 185 
calomel, squill, and ammoniac, 189 
Jackson's lozenges, 195 
oil of amber and tolu, 215 
Spitta's lozenges, 194 
Wistar's cough lozenges, 193 
Bronchitis, atomized fluids, 259 
sal ammoniac, squill, etc., 213 
acute, antimony, calomel, and Do- 
ver's powder, 187 
flaxseed-tea, 235 
Jackson's pectoral syrup, 203, 

204 
ipecac, veratrum, and spirits 

of nitre, 198 
Iceland moss, 236 
nitre, calomel, and opium, 183 
squill, ipecac, and paregoric, 

197 
squill, senega, and ipecac, 196 
tolu and belladonna, 234 
chronic, inhalation of ether and 
tolu, 248 
inhalation of rosin, 253 
inhalation of tar, 252 
balsam of Peru, 229 
ammoniac, castor, etc., 240 
senega, ammoniac, and tolu, 

209 
oil of tar, 231 
almond emulsion and ipecac, 

212 
ammoniac, squill, and pare- 
goric, 226 
tar water, 230 
tar and gentian, 191 
tartar emetic and opium, 186 
syrup of lactucarium, 205 
morphia and wild cherry, 217 
myrrh, squill, and henbane, 

192 
squill, ammoniac, and conium, 

188 
bloodroot and wild cherry, 216 
calomel, squill, and tartar 

emetic, 190 
myrrh, ipecac, etc., 182 
ammoniac and squill, 210 
naphtha and morphia, 225 
copaiba and tolu, 228 
inhalation of iodine and hem- 
lock, 249 
arsenical inhalation, 254 
inhalation of tolu, 247 



Bronchitis, chronic — 

inhalation of chlorine, 257 
inhalation of iodine, '250 
inhalation of iodine and hops, 
251 
infantile, garlic and tolu, 202 

mixture of squill, 206 
senile, myrrh, ipecac, etc., 182 
Bronchocele, burnt sponge, 546 
Bruises, see Sprains. 
Buboes, mercury with opium, 894 
Burns, Kentish ointment, 905 
creasote and charcoal, 924 
spermaceti ointment, 874 
oxide of zinc ointment, 904 
Kirkland's cerate, 917 
gum and molasses, 818 
carron oil, 815 

carbolic acid and castor oil, 925 
sloughing, carron oil and carbolic 

acid, 816 
recent, carron oil and aconite, 817 
of the eye, corrosive sublimate and 
opium, 734 



CANCER, arseniate'of iron, 540 
arsenic and iron, 571 
uterine, creasote injection, 782 
permanganate of potassa, 781 
Cancrum oris, sulphate of copper, 811 
Carbuncle, carron oil and carbolic acid, 

816 
Cardiac nausea, prussic acid and mor- 
phia, 21 
Catarrh, chronic, bloodroot and wild 
cherry, 216 
ammoniac and nitric acid, 232 
spermaceti mixture, 233 
atomized fluids, 259 
copaiba and tolu, 228 
naphthaline, 214 
morphia and wild cherry, 217 
oil of tar, 231 
infantile, croton oil and amber, 700 

onion poultice, 684 
nasal, perchloride of iron, douche, 

758 
senile, ammoniac and squill, 210 
ammoniac, squill, and pare- 
goric, 226 
Cerumen, deficient, pyroligneous acid, 

ether, and turpentine, 751 
Chaps, glycerin lotion, 862 
glycerin ointment, 873 
glycerin cream, 858 
borax and glycerin, 856 
Chlorosis, ammonio-tartrate of iron, 509 
iron, capsicum, etc., 479 



IXDEX OF DISEASES AND THEIE EEMEDIES. 365 



Chlorosis — 

cantharides, ammonia, and gentian, 

276 
Colombo and iron, 465 
ipecac, iron, and mercury, 464 
iron and myrrh, 265 
iron and strychnia, 471 
sulphate of iron and quinia, 475 
Cholera, anaesthetic pill, 357 
camphor and ether, 828 
cannabis, 383 

chloroform mixture, 375, 378 
Jackson's mixture, 609 
London mixture, 608 
Stevens' powders, 37 
infantum, acetate of lead, 629 

aromatic syrup of blackberry, 

612 
bismuth and iron, 467 
calomel, opium, and bismuth, 

591 
nitrate of silver, 619 
sugar of lead and calomel, 587 
sugar of lead, calomel, and 
ipecac, 588 
morbus, camphor and ether, 328 
Parrish's camphor mixture, 
605 
Chordee, morphia suppository, 389 
Chorea, cimicifuga, 417 

Lugol's and Fowler's solution, 566 
nitrate of silver, 482 
oxide of zinc, 486 
Colic, anesthetic pill, 357 

chloroform mixture, 375, 378 
infantile, carminative, 382 

Dewees' carminative, 381 
soda mint, 648 
nephritic, oil of turpentine, 118 
turpentine and ether, 144 
Colica pictonum, opium and colocynth, 

353 
Condylomata, calomel and sulphate of 

zinc, 903 
Conjunctivitis, acute, emollient colly- 
rium, 735 
granular, atropia and tannin, 726 
Constipation, atonic, rhubarb and sul- 
phate of iron, 57 
habitual, tonic laxative infusion, 
502 
aloes and gentian, 55 
Bretonneau's iron pill, 477 
mixture of butternut, 74 
podophyllin, aloes, and iron, 

478 
lenitive electuary and cream 
of tartar, 59 



Constipation — 

obstinate, Chapman's peristaltic 
persuaders, 53 
croton oil and colocynth, 52 
of pregnancy, senna and prunes, 80 
with impaction, ox-gall enema, 87 
soap enema, 86 
Contagious diseases, hyposulphite of 

soda, 582 
Contusions, chloroform and aconite lini- 
ment, 406 
Convulsions, infantile, assafoetida ene- 
ma, 418 
onion poultice, 684 
Corneal opacity, oxide of zinc and sugar, 
708 
oxide of zinc and red precipi- 
tate, 709 
sulphate of cadmium, 720 
specks, opium and calomel, 710 
ulceration, iodine and iodide of po- 
tassium, 713 
nitrate of silver and atropia, 
740 
Cough, atomized fluids, 259 

spasmodic, assafoetida mixture, 223 
assafoetida and acetate of am- 
monia, 227 
Cramp, camphor and chloroform, 327 

chloroform mixture, 375, 378 
Croup, atomized fluids, 259 

bloodroot and naphtha, 224 
senega, squill, and tartar emetic, 
208 
Cystitis, soda and uva ursi, 93 

chronic, buchu and acetate of po- 
tassa, 125 
buchu and uva ursi, 126 
copaiba and cubebs, 100 
hydrangea arborescens, 138 



DELIRIUM TREMENS, laudanum and 
turpentine, 366 
lupulin, 367 
Depression, vital, carbonate of ammonia, 
317 
stimulant fomentation, 962 
Diabetes, alum whey, 624 
Camplin's bread, 988 
Diarrhoea, opium and tannic acid, 601 
Tarrish's camphor mixture, 605 
Castanello's powders, 986 
aromatic syrup of galls, 626 
kino and opium, 600 
tincture of chloride of iron, 523 
chalk mixture, 607 
decoction of galls, 610 
logwood and catechu, 611 



366 INDEX OF DISEASES AND THEIR REMEDIES. 



Diarrhoea — 

catechu and laudanum, 615 
compound alum powder, 585 
rhatany and rhubarb, 597 
mixture of bismuth, 520 
chalk and opium, 632 
compound chalk mixture, 639 
sulphuric and nitric acids, 512 
alum and opium, 589 
acute, chloroform and sulphate of 
soda, 621 
creasote and opium, 598, 599 
chronic, bismuth, 466 

creasote mixture, 617 
Colombo and ginger, 494 
Colombo and rhubarb, 495 
pernitrate of iron, 530 
infantile, bismuth, 592, 593 
elixir of bismuth, 519 
hydrochloric acid and galls, 

627 
flour food, 996 

Meigs' food for children, 997 
magnesia water, 644 
magnesia and rhubarb, 70 
sulphate of soda and opium, 

620 
nitrate of silver, 521 
tubercular, bismuth and iron, 467 
bismuth and magnesia, 590 
Dilatation of pupil, Calabar bean, 394 
Diphtheria, atomized fluid, 259 
Dropsy, diuretic wine, 114 

compound infusion of taraxacum, 

108 
ipecac, tartar emetic, and squill, 13 
mixture of juniper, squill, etc., 115 
decoction of apocynum, 109 
digitalis, squill, and blue mass, 104 
mixture of oil of juniper, 113 
antiraonial wine, spirit of nitre, and 

laudanum, 164 
digitalin, 102 
parsley infusion, 107 
cream of tartar, tartar emetic, and | 

squill, 95 
digitalis and spirits of nitre, 105 
jalap and cream of tartar, 32 
tincture of elaterin, 84 
squill and nitre, 91 
jalap and gamboge, 33 
abdominal, digitalis, calomel, and 

opium, 99 
of aneemia, digitalis, podophyllin, 

and iron, 98 
cardiac, digitalis and acetate of 
potassa, 116 
digitalis, squill, and juniper, 
103 



Dropsy — 

with debility, cider mixture, 112 
infusion of juniper and cream 
of tartar, 106 
hepatic, taraxacum and blue mass, 
101 
squill and calomel, 97 
thoracic, colchicum and digitalis, 
122 
digitalis, calomel, and opium, 

99 
elaterium and colchicum, 121 
Dysentery, matico infusion, 604 

powders of calomel, opium, &c, 

152 
chalk mixture, 607 
logwood and catechu, 611 
gum water, 977 
bran tea, 978 

morphia and tannic acid, 602 
laudanum enema, 385 
sulphate of zinc and alum, 11 
Hope's mixture, 606 
butternut and jalap, 46 
chronic, geranium, 614 
rhatany mixture, 628 
Dysmenorrhcea, camphor, 274 
camphor and myrrh, 326 
camphor julep, 325 
cotton root, 273 

Dewees' tincture of guaiacum, 278 
Falk's antacrid mixture, 584 
morphia suppository, 389 
opium suppository, 386, 387 
Dyspepsia, angustura bark, 503 
dogwood bark, 504 
tonic laxative infusion, 502 
Colombo, ginger, etc., 462 
chamomile and orange-peel, 499 
charcoal, magnesia, and ginger, 

637 
soda, rhubarb, etc., 638 
Colombo and iron, 465 
iron and quassia, 485 
cinchona and iron, 488 
iron and strychnia, 471 
elixir of pepsin, 534 
pepsin and aloes, 490 
elixir of bismuth, 519 
ignatia, aloes, and opium, 472 
gentian and orange-peel, 514 
hops, 500 

infusion of gentian, 501 
Chapman's antidyspeptic pills, 54 
Mitchell's tonic pills, 480 
magnesia, fennel, and cinnamon, 

634 
with acidity, Mettauer's aperient, 
82 



INDEX OF DISEASES AND THEIE EEMEDIES. 367 



Dyspepsia — 

bilious, hydrarg. cum creta and 
ipecac, 429 



ECZEMA, chloroform ointment, 915 
oil of cade, 914 
iodide of sulphur, 884 
chronic, arsenic, morphia, and cas- 
carilla, 568 
coal-tar ointment, 910 
arsenic and iodine, 569 
lotion of bismuth, 865 
mercury and carbolic acid, 911 
pills of tar, 547 
potassa and hydrocyanic acid, 
824 
infantile, arsenic and iron, 522 
Endometritis, chronic, iodine liniment, 
283 
liniment of iodine and opium, 
284 
Epilepsy, ammoniated copper, 470 
bromide of potassium, 564 
bromine and bromide of potassium, 

565 
lactate of zinc, 487 
Magendie's solution of iodine, 554 
nitrate of silver, 481, 482 
oxide of zinc, 486 
phosphorus, 332, 333 
valerianate of zinc, 410 
Epistaxis, alum douche, 757 

perchloride of iron douche, 758 
Erosions, Kirkland's cerate, 917 
Erysipelas, elm poultice, 947 
sulphate of iron, 867 
tincture of chloride of iron, 523 
sloughing, yeast poultice, 945 
Erythema, benzoic acid and lead, 916 
carron oil and aconite, 817 
dulcamara and poppy fomentation, 

965 
oxide of zinc ointment, 904 
plasma, 872 
Excoriations, borax and glycerin, 856 
glycerin lotion, 862 
ointment, 873 
and camphor, 859 



FAVUS, compound sulphur ointment, 
896 
Fevers, currant-jelly water, 976 
apple water, 975 
malt infusion, 980 
sage tea, 979 

nitrate of potassa mixture, 166 
toast water, 974 



Fevers — 

James's powder, 149 

Tyson's antimonial powder, 148 

acetate of morphia and nitre, etc., 

162 
aconite and veratrum viride, 171 
antimonial wine, spirit of nitre, and 
laudanum, 164 
and spirit of nitre, 163 
acetate of ammonia and spirit of 

nitre, etc., 161 
acetate of ammonia and antimonial 

wine, 160 
compound powder of guaiacum, 155 
effervescing draught, 159 
Dover's powder, camphor, etc., 147 
gelsemium mixture, 168 
lemonade, 981 
neutral mixture, 157 
nitrous powders, 150 
soda powder of Guy's Hospital, 154 
solution of citrate of potassa, 158 
of morphia and wine of ipe- 
cacuanha, 156 
butternut and jalap, 46 
asthenic, brandy mixture, 1016 
camphor mixture, 324 
egg-nogg, 344 
infusion of quassia, 498 
of serpen taria, 497 
milk punch, 345 
mustard whey, 341 
oil of turpentine, 323 
wine whey, 342 
wine and egg mixture, 343 
yeast mixture, 330 
bilious, calomel, quinia, and opium, 
536 
Griffith's pill, 38 
catarrhal, boneset, 172 
pleurisy root, 173 
tolu and wine of antimony, 167 
congestive, ipecac and rhubarb, 8 
eruptive, ipecac and calomel, 7 
hectic, sage, boneset, andcascarilla, 

493 
inflammatory, powders of opium, 

ipecac, etc. etc., 151 
intermittent, arsenic and opium, 443 
cinchona and citrate of potas- 
sa, 457 
chinoidine, 439 
decoction of cinchona, 447 
Fowler's solution and opium, 

459 
cinchonia, 440 
cinchona, 431 

cloves and cream of tar- 
tar, 432 



368 INDEX OF DISEASES AND THEIR REMEDIES, 



Fevers, intermittent — 

cinchona, serpentaria, and 

soda, 433 
boneset, 172 

prussian blue and guaiac, 434 
extract of cinchona and carda- 
mom, 458 
cinchonia and iron, 456 
cinchona mixture, 448 
quinia and ammonia, 438 
and tartaric acid, 454 
and morphia enema, 460 
and tartar emetic, 437 
opium and pepper, 436 
ferrocyanate of quinia, 453 
sulphate of quinia, 435, 449, 

450, 451, 452 
quinia hypodermically, 461 
quinidia, 441 

and tannic acid, 455 
sulphate of bebeerine, 446 
of copper and opium, 445 
and cinchona, 444 
salicine, 442 
malignant, chlorinated lime, 337 
nervous, sumbul and valerian, 412 
puerperal, creasote injection, 782 
permanganate of potassa, 781 
Flatulence, ipecac and henbane, 351 
oleo-saccharoles, 346 
soda and cubebs, 339 

and gentian mixture, 647 
Foetor oris, alum gargle, 795 



GANGRENE, liquid deodorant, 820 
permanganate of potassa, 819 
yeast poultice, 945 
of lungs, atomized fluids, 259 
Gastric debility, capsicum and gentian, 
314 
depression, effervescing ammonia 
mixture, 318 
morphia and sulphuric acid, 22 
strychnia and bismuth, 17 
irritation, bismuth and cubebs, 340 
calomel, 535 

and morphia, 16 
irritability, calomel and bismuth, 15 
Gastritis, rice water, 972 

chronic, iodide of silver, 543 
nitrate of silver, 481 
Gastrodynia, bismuth, 466, 593 
elixir of bismuth, 519 
mixture of bismuth, 520 
magnesia and columbo, 636 

soda and ginger, 635 
nitrate of silver, 481 



Glandular swellings, iodide of barium, 

881 
iodide of iron, 552 
of mercury, 891 
of potassium, 878 
of zinc, 880 
iodine and collodion, 877 
morphia and iodide of mercury, 

888 
mercury and ammonia, 887 
Gonorrhoea, acetate of zinc, 765 
ammoniated copper, 778 
chlorate of potassa, 771 
calomel injection, 773 
copaiba injection, 777 
chloride of zinc, 766 
sulphate of iron, 668 
acetate of lead and sulphate of zinc, 

763 
chronic, Lafayette mixture, 131 
mixture of copaiba, 127 

cubebs, etc., 128, 129 
hydrastis, 775 
acute, nitre, cream of tartar, and 

tartar emetic, 92 
muriate of ammonia, 764 
nitrate of silver, 759 

ointment, 931 
sulphate of zinc and laudanum, 762 

of copper, 774 
iodide of iron, 769 
opium injection, 760 
Monsel's salt, 767 
strychnia injection, 780 
sulphate of quinia, 770 
mercury, bichloride of, and zinc, 

761 
tannic acid solution, 779 
turpentine and guaiacum, 313 
injection of tea, 776 
mixture of cubebs, 132 
permanganate of potassa, 772 
chronic, cubebs and ergot, 94 

compound mixture of copaiba, 
130 
female, tannic acid pessary, 785 
Gout, acid solution of veratria, 73 
Becquerel's pill, 45 
colchicum, colocynth, and mor- 
phia, 44 
colchicum and laudanum, 83 
glycerole of phosphorus, 335 
Lartigue's pill, 48 
magnesia and colchicum, 71 
paregoric and guaiacum, 329 
phosphate of ammonia, 573 
phosphorated oil, 334 
of stomach, ammonia and ginger, 

320 



INDEX OF DISEASES AND THEIR REMEDIES. 369 



Gout— 

Scudamore's mixture, 72 
Granular uterus, collodion of iodine 
and tannin, 285 



HEADACHE, nervous, valerian and 
ammonia, 319 
Hectic fever, diluted nitric acid, 581 
Hematemesis, calomel and sugar of 

lead, 394 
Hematuria, gallic acid pills, 603 
Hemicrania, valerianate of quinia, 316 
Hemoptysis, atomized fluid, 259 
ergot and cinnamon, 613 
opium and sugar of lead, 595 
Hemorrhoids, confection of senna, sul- 
phur, and nitre, 60 
copper, lead, and copal varnish, 

932 
electuary of jalap, nitre, etc., 61 
suppository of opium and rhatany, 

388 
opium, tannic acid, and lead, 933 
tannic acid suppository, 631 
tar aud opium, 913 
Hemorrhage, calomel and sugar of 
lead, 594 
creasote mixture, 616, 617 
matico infusion, 604 
Monsel's solution, 623 
perchloride of iron, 622 
passive, alum, catechu, and opium, 
596 
oxide of silver and aromatic 
powder, 586 
uterine, acetate of lead, enema, 630 
Hepatic torpor, arsenic, podophyllin, 
and iron, 492 
aloes, blue pill, and quinia, 537 
calomel, 535 
calomel and ox gall, 545 
blue pill, rhubarb, and soda, 40 
Harrowgate water, 583 
nitro-muriatic acid, 580 
Hepatitis, mercurial ointment and 

opium, 688 
Herpes, anti-herpetic ointment, 897 
chlorine, 832 
creasote liniment, 834 
cyanide of mercury, 893 
Hydrothorax, colchicum and digitalis, 
122 
digitalis, calomel, and opium, 99 
elaterium and colchicum, 121 
Hysteria, assafoetida and ammonia, 331 
assafoetida and soap pills, 407 
assafoetida, valerian, and castor, 
415 

24 



Hysteria — 

ammoniated iron, 473 
assafoetida enema, 418 
assafoetida and camphor, 413 
sumbul and valerian, 412 
Bestucheffe's tincture and valerian, 

529 
castor and succinic acid, 408 
camphor, assafoetida, etc., 360 
Hoffman's anodyne and laudanum, 

414 
valerianate of ammonia, 322 



TMPACTION of the ear, cajeput oil, 

1 742 

Impetigo, arsenic and hemlock, 542 

iodide of arsenic, 885 
Impotency, cantharides, camphor, and 

opium, 312 
Incontinence of urine, morphia and ve- 

ratria, 930 
Indigestion, podophyllin, aloes, and 

iron, 478 
Inflammation, poultice of bread and 
milk, 942 
internal, caustics, epispastics, ru- 
befacients, 650-707 
ipecac ointment, 922 
emollient poultices, 948, 949 
mush poultice, 944 
Influenza, bloodroot and wild cherry, 
216 
boneset infusion, 1 72 
sal-ammoniac, 572 
Insomnia, camphor and Hoffman's ano- 
dyne, 368 
Hoffman's anodyne and laudanum, 

414 
lactucarium and hemlock, 350 
lupulin, 348 

opium and henbane, 352 
Internal irritations, discutient plaster, 
936 
mustard fomentations, 966 
Intestinal irritations, barley water, 971 
Iritis, atropia solution, 392, 393 

belladonna mixture, 391 
Irritation, bronchial, conium and Do- 
ver's powder, 185 



LARYNGITIS, atomized fluids, 259 
Croton oil and amber, 700 
chronic, arsenical inhalation, 254 
Spitta's lozenges, 194 
Lead colic, opium and colocynth, 253 
Lepra, arsenic and hemlock, 512 
Asiatic pills, 541 



370 INDEX OF DISEASES AND THEIR REMEDIES. 



Lepra — 

calomel and tar, 923 

fumigation of sulphur, mercury, 

and iodine, 968 
iodide of arsenic, 885 
Leucorrhoea, cubebs and ergot, 94 

tannic acid pessary, 785 
Lichen, cyanide of potassium, 831 
Lithiasis, powder of uva ursi, etc., 133 
hydrangea arborescens, 138 
oxalic, nitro-hydrochloric acid mix- 
ture, 140 
iron and hydrochloric acid, 141 
phosphatic, benzoic acid mixture, 
119 
mixture of muriatic acid, 142 
mixture of phosphoric acid, 
143 
uric, acetates of potassa and am- 
monia, 124 
injection of lithia, 146 
injection of soda, 145 
mixture of carbonate of mag- 
nesia, etc., 139 
pills of carbonate of soda, etc., 

134 
solution of bicarbonate of 

soda, 136 
soluHon of potassa, etc., 135 
Lochia, fetid, permanganate of potassa, 

781 
Lumbrici, calomel and pinkroot, 287 
electuary of cowhage, 301 
electuary of tin, 300 
iron lozenges, 295 
male fern, 293 
oil ofwormseed, 303, 304 
pinkroot, savine, and senna, 288 
pinkroot, senna, and santonin, 305 
pinkroot and -worm-tea, 297 
podophyllin, santonin, andiron, 291 
salt and cochineal, 289 
santonin, 290, 292 
wormseed and rhubarb, 302 



1TALARIAL disease, arsenic and iron, 
M 528 

Mammary abscess, belladonna and bit- 
ter almond, 403 
Menorrhagia, compound alum powder, 
585 
ergot and cinnamon, 613 
ergotine, 275 
oil of erigeron, 272 
oxide of silver, 489 
oxide of silver and aromatic pow- 
der, 586 
phosphoric acid and opium, 267 



VTAUSEA, bismuth, 466 
1M clove plaster, 687 

columbo, salt of tartar, etc., 646 
calomel and bismuth, 15 
creasote mixture, 616, 617 
creasote and bismuth, 25 
chloroform and soda, 23 
lime-water and milk, 642 
mustard, pepper, and ginger cata- 
plasm, 685 
mixture of salt of tartar, 640 
spice plaster, 686 
nitrate of silver, 481 
syrup of lime, 643 
strychnia and bismuth, 17 
morphia and sulphuric acid, 22 
cardiac, prussic acid and morphia, 

21 
nervous, brandy and chloroform, 20 
of pregnancy, ammonia, magnesia, 
etc., 645 
cerium, nux vomica, and iron, 

19 
oxalate of cerium, 18 
creasote, 315 
pyroxylic spirit, 24 
Nephritic colic, oil of turpentine, 118 

turpentine and ether, 144 
Nephritis, soda and uva ursi, 93 

flaxseed tea, 973 
Nervous atony, bromide of iron, 544 
bromine, 562 

cinchona and valerian, 515 
depression, assafcetida and ammo- 
nia, 331 
camphor and Hoffman's ano- 
dyne, 368 
chloric ether, 374 
musk and camphor, 409 
valerianate of ammonia, 321 
Neuralgia, arsenic and iron, 528 
atropia lotion, 399 
belladonna and bitter almond wa- 
ter, 403 
bitter almond, 384 
compound anodyne pill, 356 
camphor and chloroform liniment, 

404 
opium and belladonna lotion, 398 
opium and belladonna plaster, 402 
opium and camphor plaster, 401 
valerianate of zinc, 410 
veratria ointment, 929 
cranial, cinchona and valerian, 505 
citrate of iron and quinia, 474 
Vallet's mass and quinia, 476 
vinegar draught, 513 
facial, compound opiate liniment, 
850 



INDEX OF DISEASES AND THEIR REMEDIES. 371 



Neuralgia, facial — 

cyanide of potassium and chlo- 
roform, 900 
sal-ammoniac, 572 
dental, anesthetic lotion, 396 
thoracic, compound opium liniment, 

851 
ophthalmic, opium and camphor, 
728 
Night-sweats, gallic acid and morphia, 

625 
Nipples, sore, borax and glycerin, 856 
opium and lime-water, 395 
oxide of silver ointment, 926 
tannate of lead, 935 
tannic acid and glycerin, 866 



OBSTRUCTION of bowels, opium and 
colocynth, 353 
Odontalgia, Blake's drops, 794 
creasote solution, 618 
tincture of cayenne, 691 
Ophthalmia, lapis divinus, 711 
acute, acetate of zinc, 717 
alum curd, 718 
camphor and acetate of am- 
monia, 732 
nitrate of silver, 719 
opium and acetate of ammo- 
nia, 733 
poppy and camphor collyrium, 

736 
quince seed, 729 
chronic, alum collyrium, 712 
atropia and tannin, 726 
bichloride of mercury and 

quince seed, 730 
borax and opium, 722 
gallic acid and opium, 724 
green vitriol, 714 
Guthrie's ointment, 739 
lead and opium, 715 
vinegar and alcohol, 716 
gonorrhceal, bichloride of mercury, 

727 
neonatorum, Bates' camphor water, 

731 
purulent, camphor and sulphate of 

copper, 721 
rheumatic, wine of opium, 737 
strumous, bichloride of mercury, 
727 
conia collyrium, 738 
iodine solution, 703 
iodine and iodide of potassium, 

713 
Lugol's ointment, 879 
mercury and zinc, 741 



Otitis, acute, tartar emetic ointment 
690 

Otorrhcea, aqua sappharina, 745 
Bates' alum water, 744 
catechu injection, 750 
creasote injection, 752 
lead and rose water, 743 
sulphate of cadmium, 753 
nitrate of silver, 746, 747 
purulent, pyroligneous acid. 749 
strumous, sulphite of soda, 748 

Oxaluria, iron and hydrochloric acid, 
141 
mixture of nitro-hydrochloric acid, 
140 

Ozena, hyposulphite of soda, 756 

iodide of zinc and permanganate of 

potassa, 755 
mercurial inhalation, 255 
permanganate of potassa, 754 



PAIN, chloroform emulsion, 380 
chloroform and cardamom, 379 
chlorodyne, 376, 377 
chloric ether, 374 
laudanum, 362 
laudanum enema, 385 
sulphate of morphia, 349 
morphia, sulphate of, 349, 364, 365 
opium, 363 
opium pills, 347 
opium suppository, 386, 387 
Paralysis, cantharides and camphor, 
838 
dux vomica, 359 
nux vomica liniment, 848 
phosphorus, 332 
strychnia mixture, 372 
of tongue, pellitory and mastich, 
430 
Pelvic cancer, conium suppository, 390 
Pertussis, assafcetida mixture, 223 
amber liniment, 843 
atomized fluids, 259 
bicarbonate of soda, etc., 219 
bromide of ammonium, 220 
conium, tolu, and paregoric, 211 
cochineal mixture, 221 
copaiba and tolu, 228 
cimicifuga, 417 

cloves and amber liniment, 847 
bloodroot and naphtha, 224 
lobelia, squill, and belladonna, 222 
musk mixture, 411 
nitric acid mixture, 416 
sulphate of zinc and myrrh, 184 
syrup of assafcetida, 199, 200 
tartar emetic and laudanum, 218 



372 INDEX OF DISEASES AND THEIR REMEDIES. 



Pharyngitis, brandy gargle, 788 
rhatany gargle, 798 
sal-ammoniac and acetic acid, 802 
volatile liniment, 701 
pomegranate and alum, 796 
acute, alum, sage, and honey, 812 

sage and flaxseed, 787 
chronic, muriatic acid and cin- 
chona, 799 
oak bark and alum, 789 
pomegranate and chlorate of 

potassa, 797 
quinia gargle, 790 
sulphuric acid, 800 
syphilitic, mel JEgyptiacum, 807 

mercurial gargle, 801 
ulcerated, iodine and opium, 808 
Photophobia, opium and camphor, 728 
Phosphatic lithiasis, benzoic acid mix- 
ture, 119 
muriatic acid mixture. 142 
Phthisis, atomized fluids, 259 

ammoniac and nitric acid, 232 
almond emulsion and ipecac, 212 
Griffith's myrrh mixture, 507 
inhalation of cubebs and carbolic 

acid, 258 
infusion of wild cherry, 496 
cyanide of potassium, 238 
tar and hops, 246 
morphia, squills, and tolu, 242 
tolu, morphia, and tartar emetic, 

243 
morphia, glycerine, and iodide of 

iron, 244 
prussic acid mixture, 237 
perchloride of iron and nitric acid, 

526 
protoxide of iron, 508 
squill, morphia, and prussic acid, 

207 
sulphate of zinc and alum, 11 
oil of tar, 231 
syrup of lactucarium, 205 
syrup of the hyposulphites of lime, 

etc., 245 
naphtha and morphia, 225 
raw beef preparation, 1005 
wild cherry and prussic acid, 201 
Pityriasis, sulphuret of potassium, 825 
Placenta, retained, Labarraque's solu- 
tion, 783 
Pleurisy, aconite and acetate of am- 
monia, 170 
acute, antimony, calomel, and Do- 
ver's powder, 187 
Pneumonia, bloodroot and naphtha, 224 
croton oil and amber, 700 
morphia and turpentine, 241 



Pneumonia — 

acute, antimony, calomel, and Do- 
ver's powder, 187 
Poison, mineral, decoction of galls, 610 
rattlesnake, Bibron's antidote, 563 
Porrigo, depilatory ointment, 928 

depilatory powder, 940 
Pregnancy, acidity of, chloroform and 
soda, 23 
albuminuria of, benzoic acid mix- 
ture, 120 
potassa in milk, 111 
constipation of, senna and prunes, 

80 
nausea of, cerium, nux vomica, and 
iron, 19 
oxalate of cerium, 18 
creasote, 315 
pyroxylic spirit, 24 
Prolapsus ani, suppository of opium 

and rhatany, 388 
Pruritus vulvae, borax and morphia lo- 
tion, 868 
Ptyalism, acetate of lead, 803 
borax and myrrh, 791 
disinfecting mouth-wash, 805 
sulphate of zinc, etc., 793 
Pyrosis, charcoal, magnesia, and gin- 
ger, 637 
kino and opium, 600 
magnesia and Colombo, 636 
oxide of silver, 489 
salt of tartar and ammonia, 641 
strychnia and bismuth, 17, 493 



RENAL atony, peracetate of iron, 525 
Rheumatism, aconite and acetate of 
ammonia, 170 
Rheumatism, aconite and colchicum, 169 
burdock decoction, 176 
camphor and chloroform liniment, 

404 
camphorated oil, 836 
chloroform and aconite liniment, 

406 
chloroform and soap liniment, 405 
gelsemium, 168 
Harrowgate bath, 961 
lemonade, 981 

morphia and glycerin lotion, 863 
propylamine, 369, 370, 371 
Stokes' liniment, 837 
stramonium in milk, 397 
acute, compound powder of guaia- 
cum, 155 
cannabis, 383 

colchicum and cream of tartar, 
96 



INDEX OF DISEASES AND THEIR REMEDIES. 373 



Rheumatism, acute — 

colchicum and laudanum, 83 
guiiacum, nitre, etc., 165 
magnesia and colchicum, 71 
Scudamore's mixture, 72 
chronic, aconite and Dover's pow- 
der, 361 
buchu and iodide of potas- 
sium, 180 
iodide and bromide of potas- 
sium, 567 
Lartigue's pill, 48 
phosphate of ammonia, 573 
phosphorated oil, 334 



SARCOMATOUS tumors, rhubarb and 
ipecac, 938 
Scabies, aromatic sulphur ointment, 918 

chlorine, 832 

chlorine fumigation, 970 

compound sulphur ointment, 896 

corrosive sublimate, 828 

Hebi-a's liniment, 845 

iodide of sulphur, 884 

naphthaline ointment, 919 

sulphur ointment, 898 

sulphuretted soap liniment, 846 

white precipitate, sulphur, etc., 895 
Scalds, see Burns. 
Scarlatina, belladonna, 373 

Cayenne pepper gargle, 806 

maligna, Cayenne pepper and salt, 
338 
Scrofula, Lugol's solution, 553 

preparations of iodine, 548 

ethereal tincture of iodine, 549 

mixture of iodine, 551 

iodine waters, 559, 560 

iodide of iron, 552 

iodide of potassium and sarsapa- 
rilla, 550 

iron and chloride of barium, 179 
Skin diseases, arseniate of soda, 570 

arsenic and hemlock, 542 

arseniate of iron, 540 

alkaline bath, 959 

Donovan's solution, 561 

iodide of sulphur, 884 

ethereal tincture of iodine, 549 

iodide of iron ointment, 883 

iodine and calomel, 886 

Lugol's and Fowler's solution, 566 

sulphuret of potassium, 849 

hyposulphite of soda, 582 

sulphureo-gelatinous bath, 955 

sulphur bath, 954 

emollient bath, 956 

Harrowgate water, 583 



Skin diseases — 

lead-water and glycerin, 864 
sulphur and cream of tartar, 34 
powders of sulphuret of antimony, 

etc., 153 
sarsaparilla decoction, 178 
serpentaria and red sulphuret of 

mercury, 174 
tobacco fomentation, 967 
Plummer's pill, 175 
mezereon decoction, 177 
chronic, cyanide of potassium, 831 
strumous, iodine, 833 

Spasm, camphor and opium, 354 

Spinal irritation, veratria ointment, 929 

Sprains, British oil, 844 

camphor, amber, etc., 839 
camphor and acetic acid, 840 
compound chloroform liniment, 853 
opium and lead, 852 
origanum, camphor, etc., 855 
petroleum, camphor, etc., 854 
saponaceous fomentation, 963 

Stomatitis, aphthous, borax and honey, 
792 
scorbutic, muriatic acid, 813 
ulcerative, chloride of lime, 804 

Strangury, liquor potassa in milk, 111 
from blisters, parsley infusion, 107 

Strumous disease, ioduretted baths, 960 
swellings, bromide of potassium, 
906 
poultice of salt, etc., 952 

Syphilides, buchu and iodide of potas- 
sium, 180 
burdock decoction, 176 
corrosive sublimate bath, 958 
dilute nitric acid, 581 
Donovan's solution, 561 
iodine and mercury, 558 
iodide and bromide of potassium, 

567 
mercurial vapor bath, 969 
mezereon decoction, 177 
nitro-muriatic acid bath, 957 
Plummer's pill, 175 
sarsaparilla beer, 181 
sarsaparilla decoction, 178 

Syphilis, blue mass, 426 

bichloride of mercury and conium, 

422 
calomel, camphor, and opium, 425 
corrosive sublimate, 579 
cyanide of mercury, 428 
Dupuytren's pills, 421 
Falk's antacrid mixture, 584 
mixture of iodine, 551 
iodide of mercury, 423, 424 
iodide of potassium, 555 



374 INDEX OF DISEASES AND THEIR REMEDIES 



Syphilis — 

iodide of potassium and sarsapa- 

rilla, 550 
iodo-hydrargyrate of potassa, 556, 

557 
oxide of mercury, 427 
constitutional, bichloride of mer- 
cury, 420 
Syphilitic disease, corrosive sublimate, 
539 
red iodide of mercury, 538 
growths, sanguinaria, 941 
nodes, iodine ointment, 876 
pain, conium and calomel, 358 
ulcers, iodide of mercury, 889, 890 
mercury with opium, 894 



TAPEWORM, calomel and gamboge, 
286 
emulsion of pumpkin seed, 308 
kameela, 294 
kousso, 299 

mixture of male fern, 306 
pomegranate root, 298 
oil of turpentine, 307 
Venice turpentine, calomel, etc., 
296 
Tinea capitis, alum, calomel, etc., 902 
chlorine, 832 
oil of cade, 914 

sulphuret of potassium and lime- 
water, 826 
tar and citrine ointment, 909 
Tinnitus aurium, arnica, 336 
Tonsillitis, volatile liniment, 841 
acute, sage and flaxseed, 787 
chronic, iodide of zinc, 809 
Torpor of liver, blue pill, rhubarb, and 

soda, 40 
Tuberculosis, cod-liver oil, 574, 575, 576 
cod-liver oil and iodine, 578 
cod-liver oil and quinia, 577 
infusion of acorns, 506 
iodide of potassium and manga- 
nese, 483 
Tumors, glandular, ammonia and tartar 

emetic, 842 
Tympanites, turpentine liniment, 696 



ULCERS, chronic, chloride of zinc, 823 
Goulard's extract and cam- 
phor, 821, 822 



Ulcers, chronic — 

phosphoric acid, 827 
exuberant, ointment of verdigris, 
etc., 921 
savin and verdigris, 939 
indolent, lead and calomel, 907 
olive ointment, 912 
red precipitate ointment, 875 
carbonate of ammonia oint- 
ment, 920 
rhubarb and opium, 908 
verdigris and calomel, 937 
irritable, spermaceti ointment, 874 
strumous, iodide of potassium and 
opium, 892 
iodine poultice, 953 
phagedenic, antiseptic poultice, 950 
black wash, 830 
carbolic acid and castor oil, 925 
charcoal poultice, 946 
creasote lotion, 835 
lime-water and zinc, 814 
permanganate of potassa, 819 
yellow wash, 829 
syphilitic, aromatic wine, 870 

Goulard's extract and cam- 
phor, 822 
mercurial cerate, 899 
iodide of mercury, 889, 890 
Urethritis, chronic, buchu and uva ursi, 
126 
copaiba and cubebs, 100 
Uric lithiasis, acetates of potassa and 
ammonia, 124 
carbonate of magnesia, etc., 139 
pills of carbonate of soda, etc., 134 
solution of bicarbonate of soda, 136 
solution of potassa, etc., 135 
injection of lithia, 146 
injection of soda, 145 
Urine, incontinence of, cantharides and 

spirits of nitre, 117 
Uterus, rigidity of, belladonna ointment, 
901 



TTAGINITIS, chronic, alum and catechu 
V pessary, 786 
Vomiting, laudanum enema, 385 

WOUNDS, contused, carbolic acid and 
castor oil, 925 
Wounds of the eye, corrosive sublimate 
and opium, 734 



STILLE'S THERAPEUTICS— New Edition— Now Ready. 

THERAPEUTICS AND~MATERIA MEDICA: 

A SYSTEMATIC TREATISE OX THE ACTION AND USES OF MEDICINAL AGENTS, 
INCLUDING THEIR DESCRIPTION AND HISTORY. 

By ALFRED STILLfi, M. D., 

Professor of the Theory and Practice of Medicine in the University of Pennsylvania. 
THIRD EDITION, REVISED AND ENLARGED. 

In two large and handsome octavo volumes of about 1700 pages ; extra cloth, $10 ; leather, $12. 

That two large editions of a work of such magnitude should - be exhausted in a few years, is 
sufficient evidence that it has supplied a want generally felt by the profession, and the unanimous 
commendation bestowed upon it by the medical press, abroad as well as at home, shows that the 
author has successfully accomplished his object in presenting to the profession a systematic trea- 
tise suited to the wants of the practising physician. Notwithstanding its enlargement, the pre- 
sent edition has been kept at the former very moderate price. 

From the Preface to the Third Edition. 

Although the second edition of this work had for many months been out of print, the author 
preferred to delay a new issue of it, rather than omit anything which appeared to be substantially 
valuable among the recent advances of the science and art of Therapeutics. The subjects now 
treated of for the first time are: Chromic Acid; Permanganate of Potassa; The Sdlphites 
of Soda, etc. ; Carbolic Acid ; Nitrous Oxide ; Rhigolene ; and Calabar Bean. The 
article on Bromine has been prepared entirely anew; and that on Electricity very materially 
enlarged by an account of the most recent improvements in electrical apparatus, and in the appli- 
cation of this agent to the cure of disease. The additions which have been mentioned, with 
much new matter besides, which will be found under the more important titles, occupy nearly 
one hundred pages. 

April, 1S6S. 

Dr. Still^'s splendid work on Therapeutics and Ma- 
teria Medica. — London Med. Times and Gaz., April 
S, 1865. 

He makes use of all these materials -with a skill and 
discrimination which must give his work a classical 
position among the text books prepared for American 
students. . . . Being under the necessity of criticizing 



it as though it were a French treatise on Therapeutics, 
our highest expression of praise is to record our re- 
gret that it is not among the manuals used in our own 
schools. . . . Dr. Still6's book deserves to be classed 
among the best and most practical treatises on Thera- 
peutics. — Translated from the Archives Generates de 
Iftdecine, Juin, 1860. 



PEREIRA'S MATERIA MEDICA. By WOOD.— Just Issued. 

MANUAL OF 

MATERIA MEDICA AND THERAPEUTICS; 

Being an Abridgment of the late Dr. Pereira's Elements of Materia Medica, arranged 
in conformity with the British Pharmacopoeia, and adapted to the use of Medical 
Practitioners, Chemists and Druggists, Medical and Pharmaceutical Students, 
etc. By F. J. FARRE, Senior Physician to St. Bartholomew's Hospital, 
and London Editor ok the British Pharmacopoeia; assisted by RO- 
BERT BENTLEY, M.R. C. S., Professor of Materia Medica 
and Botany to the Pharmaceutical Society of Great 
Britain; and by ROBERT WARING, F. R. S. ; 
Chemical Operator to the Society of 
Apothecaries. 
Edited, with numerous references to the United States Pharmacopoeia, and many other Additions, 

By HORATIO C WOOD, Jr., M D , 

Professor of Botany in the University of Pennsylvania. 

In one large and handsome octavo volume of 1030 closely printed pages, with, 236 illustrations. 

Extra cloth, $7 ; leather, raised bands, $8. 

llustrations, some of which are original. We 



The reader cannot fail to he impressed, at a glance, 
with the exceeding value of this work as a compend 
of nearly all useful knowledge on the materia medica. 
We are greatly indebted to Professor Wood for his 
adaptation of it to our meridian. Without his emen- 
dations and additions it would lose much of its value 
to the American student. With them it is an Ameri- 
can hook. — Pacific Medical and Surgical Journal, 
December, 1S66. 

Altogether the work is a most valuable addition to 
the literature of this subject, and will be of great use 
to the practitioner of medicine and medical student. 
The work, as issued by the American publisher, is a 
handsome volume of 1030 pages, most amply illus- 
trated, the wood-cuts being of superior finish, and 
clearly impressed. — Canada Med. Jnurn., Nov. 1S66. 

The task of the American editor has evidently been 
no sinecure, for not only has he given to us all that is 
contained in the abridgment useful for our purposes, 
but by a careful and judicious embodiment of over a 
hundred new remedies has increased the size of the 
former work fully one-third, besides adding many 



unhesitatingly say that by so doing he has propor- 
tionately increased the value, not only of the con- 
densed edition, but has extended the applicability of 
the great original, and has placed his medical coun- 
trymen under lasting obligations to him. The Ameri- 
can physician now ha> all that is needed in the shape 
of a complete treatise on materia medica, and the 
medical student has a text-book which, for practical 
utility and intrinsic worth, stands unparalleled. Al- 
though of considerable size, it is none too large for 
the purposes for which it has been intended, and 
every medical man should, in justice to himself, spare 
a place for it upon his book-shelf, resting assured that 
the more he consults it the better he will be satisfied 
of its excellence. — N. Y. Med. Record, Nov. 15, 1866. 
We have here presented, in a volume of a thousand 
pages, that which we sincerely believe the best work 
on materia medica in the English language. No phy- 
sician, no medical student, can purchase this hook, 
and make anything like a proper use of it, without 
being amply rewarded for his outlay. — T lie Cincin- 
nati Journal of Medicine, November, LS66, 



HENRY C. LEA-Pliiladelpliia. 



PARRISH'S PHARMACY— Third Edition. 

A TREATISE ON PHARMACY. 

DESIGNED AS 

A Text-book for the Student, and as a Guide for the Physician and Pharmaceutist. 

WITH MANY FORMULAE AND PRESCRIPTIONS. 

BY EDWARD PAEEISH, 

Professor of Materia Medica in the Philadelphia College of Pharmacy, &c. 
Third Edition, greatly Improved. 
In one handsome 8vo. volume of 850 pages, with several hundred illustrations,- extra cloth, $5. 
The thoroughness with which the very complete plan of this work has been carried out may 
be estimated by the fact that the Index contains about 4700 items. Under the head of Acids 
there are 312 references ; under Emplastrum, 36 ; Extracts, 159 ; Lozenges, 25 ; Mixtures, 55 ; 
Pills, 56 ; Syrups, 131 ; Tinctures, 138; Unguentum, 57 ; &c. &c. It thus becomes a storehouse 
of pharmaceutical knowledge, to which the physician can at all times refer with the certainty of 
finding the latest practical information on all subjects coming within its scope. 

compelled to give the above work only a book notice. 
It was onr wish and intention to attempt an extended 
analysis of its contents, that our readers might jud*e 
somewhat for themselves of its great and numerous 
merits, but the subject-matter is of such a nature as 
to forbid anything like a review. All that we can 
say of it is, that to the practising physician, and es- 
pecially the country physician, who is generally his 
own apothecary, there is hardly any book that might 
not better be dispensed with. It is at the same time 
a dispensatory and a pharmacy. — Louisville Review. 
Of course, all apothecaries who have not already a 
copy of the first edition will procure one of this; it 
is, therefore, to physicians residing in the country 
and in small towns, who cannot avail themselves of 
the skill of an educated pharmaceutist, that we would 
especially commend this work. In it they will find 
all that they desire to know, and should know, but 
very little of which they do really know in inference 
to this important collateral branch of their profession ; 
for it is a well-established fact, that, in the education 
of physicians, while the science of medicine is gene- 
rally well taught, very little attention is paid to the 
art of preparing them for use, and we know not how 
this defect can be so well remedied as by procuring 
and consulting Dr. Parrish's excellent work. — St. 
Louis Med. Journal. 



In this connection, the very able work of Edward 
Parrish on " Practical Pharmacy," deserves most 
honorable mention, supplying as it does a real want, 
and in the most satisfactory manner. The profession 
has long needed a work which should contain the 
leading facts and principles of the science arranged 
for study, and with special reference to those features 
of the subject which possess a practical interest to 
the physician. Although medicines are mostly sup- 
plied to the profession ready prepared, yet there are 
thousands of practitioners in the United States to 
whom pharmacy is necessarily a collateral pursuit ; 
to many of these, and to the numerous students under 
their charge, an elementary work designed as an 
introduction to pharmacy has long been a desidera- 
tum. This want no longer remains unsupplied. — 
Report on Med. Literature, Trans. Am. Med. Assoc, 
1S66. 

We know of no work on the subject which would 
be more indispensable to the physician or student 
desiring information on the subject of which it treats. 
With Griffith's "Medical Formulary" and this, the 
practising physician would be supplied with nearly 
or quite all the most useful information on the sub- 
ject. — Charleston Med. Journal and Review. 

It is with reluctance and much regret that we are 



A UNIVERSAL FORMULARY, 

Containing the methods of Preparing and Administering Officinal and other Medicines, 

THE WHOLE ADAPTED TO PHYSICIANS AND PHARMACEUTISTS. 

BYEOBEET E. GRIFFITH, M. D., &c. 

SECOND EDITION, THOROUGHLY REVISED, WITH NUMEROUS ADDITIONS, 

BYEOBERT P. THOMAS, M. D., 

Professor of Materia Medica in the Philadelphia College of Pharmacy. 

In one large and handsome 8vo. vol. of over 600 pages, double columns, extra cloth, $4- 00 ; 

leather, $5 00. 

It was a work requiring much perseverance, and 
wheu published was looked upon as by far the best 
work of its kind that had issued from the American 
press, being free of much of the trashy, and embrac- 
ing most of the non-officinal formula used or known 
in American, Euglish, or French Practice, arranged 
under the heads of the several constituent drugs, plac- 
ing the receipt under its more important constituent. 
Prof. Thomas has certainly "improved," as well as 
added to this formulary, and has rendered it addition- 
ally deserving of the confidence of pharmaceutists 
and physicians.— American Journal of Pharmacy. 



We are happy to announce a new and improved 
edition of this, one of the most valuable and useful 
works that have emanated from an American pen. 
It would do credit to any country, and will be found 
of daily usefulness to practitioners of medicine ; it is 
better adapted to their purposes than the dispensato- 
ries. — Soutliern Med. and Surg. Journal. 

A new edition of this well-known work, edited by 
R. P. Thomas, M, D., affords occasion for renewing 
our commendation of so useful a hand-book, which 
ought to be universally studied by medical men of 
every class, and made use of by way of reference by 
office pupils, as a standard authority. It has been 
much enlarged, and now condenses a vast amount of 
needful and necessary knowledge in small compass. 
The more of such books the better for the profession 
and the public— N. Y. Med. Gazette. 



It is one of the most useful books a country practi- 
tioner can possibly have in his possession. — Medical 
Chronicle. 

The amount of useful, every-day matter, for a prac- 
tising physician, is really immense. — Boston Med. 
and Surg. Journal. 

This is a work of .six hundred and fifty one pages, 
embraciug all on the subject of preparing and ad- 
ministering medicines that can be desired by the phy- 
sician and pharmaceutist. — Western Lancet. 

In short, it is a full and complete work of the kind, 
and should be in the hands of every physician and 
apothecary. — O. Med. and Surg. Journal. 

We predict a great sale for this work, and we espe- 
cially recommeud it to all medical teachers.— Rich- 
mond Stethoscope. 

This edition of Dr. Griffith's work has been greatly 
improved by the revision and ample additions of Dr. 
Thomas, and is now, we believe, one of the most 
complete works of its kind in any language. The 
additions amount to about seventy pages, and no 
effort has been spared to include in them all the re- 
cent improvements which have been published in 
medical journals and systematic treatises. A work 
of this kind appears to us indispensable to the physi- 
cian, and there is none we can more cordially recom- 
mend.— 2V. J. Journal of Medicine. 



HENRY C. LEA, Philadelphia. 









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